|
Membership
Application No: |
|
| Christian Name:
|
Surname: |
| Partners Name:
|
|
| Postal Name & Address:
(e.g.. Mr. & Mrs. A.B. Clark) |
|
| Post Code: |
Tel/Fax Nos: Mobile No: Email Address: |
|
Vehicle Make and Model
|
|
| Year/Registration No: | |
| Notes/Special Features: |
|
| Are you able to offer any help? |
|
Please print this form and return completed with cheque for £15 to:
Anne Obery, Membership Secretary, GEM Italian Owners Club, 6 Well Close, Long Ashton, Bristol, Somerset, BS41 9NR
| (for Office use only) | |||
|---|---|---|---|
| Paid: £ | Csh/Chq: | Date: | Renewal Date: |
[ Home | Introduction | Dealers | Services | Members | Diary | Links | Feedback ]