Contact by email:   david@rotaryownersclub.co.uk

or

Membership Application Form Rotary Owners Club.

Name:______________________________________________________________

Address:____________________________________________________________

___________________________________Postcode:________________________

Phone:___________________________Fax:_______________________________

E-mail:_____________________________

Machine Particulars

(if more than one rotary is owned, please supply details as below overleaf)

Make:____________________________ Model:____________________________

Registration no. / Licence plate no. (if any):_______________________________

Frame number:____________________Engine no:_________________________

Basic colour(s):___________________________ Runner?: Yes / No

Current mileage:________________mls/kms Date bought:__________________

I hereby apply for membership of the Rotary Owners' Club. I agree that my details and the details of my machine may be held on a personal computer and that the information will remain within the R.O.C. and not passed on to any outside companies, or sold as mailshot lists etc.

 

I enclose my annual subscription of 10. (Cash, cheque or Postal Order).

Overseas members. Please make your payments either in cash (UK Sterling); cash US$15; cash Euros €15); Or by cheque in Sterling drawn on a UK bank.

 

Signature:_______________________________________ Date:______________________

Send to: Dunbar,Ingatestone Road,Highwood,ChelmsfordEssex,CM1 3QU