I/We, the undersigned, wish to apply for one years membership of the Herts Volkswagen Club.
Type of membership: Individual - £12.50 ÿ
Joint - £17.50 ÿ Family - £22.50 ÿNB. Joint membership covers two people living at the same address.
Family membership covers up to four people living at the same address.
Name(s):
Membership no (renewals only):
Address:
Post code: Telephone:
Email Address:
Date of birth: (optional)
Model of Car(s) Reg no: Colour:
Would You Like to be contacted should TV/Film companies wish to use your vehicle for film?
How did you hear about the club?
Other Interests:
I/We enclose a cheque/postal order for £12.50/£17.50/£22.50
(payable to Herts Volkswagen Club)You can now pay via PayPal too! – Just send your payment (+50p Fees) to join@hertsvwclub.org -Just go to www.paypal.co.uk , sign in and chose the "send money" tab. Please remember to send this form to join@hertsvwclub.org or via the post to the above address.
Signed: Date:
Signed: Date:
Please send this form and payment to Herts VW Club, C/O Tim MacDonald, 126 Topstreet Way, Harpenden, Herts, AL5 5TS