MEMBERSHIP FORM





Please complete the following in BLOCK LETTERS to enable the Club to keep a record of Club cars.

NAME (and title) ...............................................................TELEPHONE.....................................

ADDRESS...................................................................................................................................

....................................................................................... POSTCODE.......................................

EMAIL ADDRESS.....................................................................................................................

CAR DETAILS

Make Austin or Vanden Plas Model .............................................................

Colour (Exterior) .....................(Interior) .................... Registration No ..............................................

Engine C.C....................................(Manual/Automatic) Chassis No / VIN No…...............................

Commission No (If Known) ................................... Date of first registration ................................

Condition of car (Please tick) A1............. Good............... Fair.......... To be restored............…

MEMBERSHIP

Membership will be open to any person, whether they own an Allegro type 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.

CLUB FEES Enrolment Fee £5.00. Subscription £19.00 UK or £25.00 overseas.

The enrolment fee is a once only payment and subscriptions are for one year's membership of the Club.

I HAVE READ THE 'CONDITIONS OF MEMBERSHIP' AND AGREE TO ABIDE BY THEM

Signature........................................................................................ Date....................................

Signature Spouse/Partner.........................Print Name...................... Date....................................

Please make your cheque or postal order payable to "Allegro Club International" and post it with this completed form to:

The A.C.I. Membership Secretary,

6 Elm Grove, Hale, Farnham, Surrey, GU9 0QE