STREETLY MOTOR CLUB

APPLICATION FOR RENEWAL / MEMBERSHIP

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I require membership to Streetly Motor Club as follows (please tick one box only):

Tick box Full membership @ £ 10.00 (includes Club Card)

Tick box Social membership only @ £ 5.00

I enclose a *cheque/postal order to the value of £ _____.____, made payable to Streetly Motor Club. (*Please delete).

Signed: Date:

The information entered onto this form will be held on computer. You should be aware that this information is for internal club use only.

Please complete this form and return it with your remittance to:

The Membership Secretary, Streetly Motor Club,
134 Ogley Hay Road, Burntwood, Staffordshire, WS7 8HX

For Club use only
For club use only