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Membership Application Form Rotary Owners Club.






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