APPLICATION FOR MEMBERSHIP

Notes for Guidance
1. You do not have to own a Land Rover to become a Member of Nottingham Land Rover Club.
2.
Anyone wishing to DRIVE at a Club Event must hold a current FULL Driving License.
3.Membership is Limited to THREE persons per household. Members wishing to DRIVE at off-road events must be listed on this form, be related to and live at the same address as the first named Applicant and comply with number 2 above.
4.
Membership fees are currently £25.00 initial membership then £20.00 per annum (When payment is received within 28 days of the due date) for the first named applicant and £5.00 per annum for each additional named applicant.
5.Nottingham Land Rover Club reserves the right to refuse any application for Membership.


(1st Applicant)         NAME ………………………………………………………………………………………………………..

                                ADDRESS …………………………………………………………………………………………………..

                                                  …………………………………………………………………………………………………..

                                                  …………………………………………….. (POST CODE) …………………………………

                                (TELEPHONE) …………………………                    (E-MAIL)…………………………………………

Date of Birth              ………./………/…………                                        Driving License No.  ……………………………

(2nd Applicant)         NAME ………………………………………………………………………………………………………

Date of Birth              ………/………./…………                                        Driving License No.  …………………………..

(3rd Applicant)         NAME ……………………………………………………………………………………………………….

Date of Birth              ………/………./…………                                      Driving License No.  ……………………………

Type of Vehicle(s) owned ………………………………………………………………………………………………………..

Registration no.(s)              …………………………………………………..

Are you a Member of any other Club(s).  If so, please state which …………………………………………………………

                                                                                                          …………………………………………………………

Have you previously been a member of this club       Yes/No?

 


I enclose a cheque/ Postal Order (made payable to Nottingham Land Rover Club) for £20.00 - £25.00 -£30.00

DECLARATION   I declare that to the best of my knowledge and belief the information provided on this form is correct.

SIGNED   ……………………………………………………………            Date ………………………………………………

Please send to: Sharon Talbot Club Treasurer, 7 Highfield Rise, Bilsthorpe, Nottinghamshire, NG22 8SN or present at the next club meeting / event