MEMBERSHIP APPLICATION FORM
Please complete the following in BLOCK CAPITALS to enable the Club to keep a record of members and cars.
FULL NAME (& Title)
.
................................................................................................................................
ADDRESS
.............................................................................................................................................
...................................................................................................................................... Post Code..........................................
E-MAIL ADDRESS
......................... TELEPHONE No(s). ...................................................................
MAKE (Austin/VP)
.....................................................................................................................................
MODEL (Estate/Saloon/2 Door/4 Door/
................................. Engine cc
...........................................
SERIES (1,2 or 3)
....................................... MANUAL /AUTOMATIC......................................................
COLOUR: Exterior
........................... Interior
....................................................
TRIM SPECIFICATION (DL/SDL/HL etc.)
...................................................................................................
REGISTRATION No
..................................................................................................................
CHASSIS No./ VIN No
...................
............................................................................................
COMMISSION No
.................................................................................................................................
DATE OF FIRST REGISTRATION
.......................................................................................................
CONDITION OF CAR (A1/Good/Fair/To Be Restored)
............................................................................
ACCESSORIES FITTED
.......................................................................................................................
NOTABLE POINTS ABOUT YOUR CAR
..............................................................................................
..............................................................................................................................................................
(If you own more than one Allegro/VP, please supply details on the reverse of this form).
MEMBERSHIP
Membership is open to any person, whether they own an Allegro/ VP car or not, if they are interested in, and prepared to further the aims and objectives of the Club. Information which you supply on this form will be held on computer by Allegro Club International but will only be used by Club members for Club purposes.
MEMBERSHIP FEES.
The Joining Fee is currently £5 PLUS an annual Subscription of £21 (UK) or £25 for Overseas. An additional annual fee of £5 is payable for a members Spouse or Partner (Associate Member) if required. See Rule 3 of the Conditions of Membership. The joining fee is a once only payment if membership is not allowed to lapse. (See Rule 4 of the Conditions of Membership). The total for joining A.C.I. will be £26 (UK) or £30 for overseas applications. For Membership plus Associate Membership £31 (UK) or £35 for overseas applications.
Upon receipt of your application form and relevant fee you will be sent a membership pack, including membership number(s), which will be required for the purchase of parts from the Club Spares Service.
I HAVE READ THE CONDITIONS OF MEMBERSHIP AND AGREE TO ABIDE BY THEM.
Signature.
........................................................................... Date
....
Signature of Associate Member(s)
....................................................................................................
Please Print Name(s)
.
......................................................................................................
Please make your Cheque or Postal Order (in Pounds Sterling) payable to ALLEGRO CLUB INTERNATIONAL and send with this completed form to the Membership Secretary, Mr. M. Irvine, 6, Elm Grove, Hale, Farnham, Surrey. GU9 0QE. United Kingdom.