Membership Form    

 

Date                                                

 

Members Surname                                                                                     

 

Members First Name                                                                                 

 

Additional Family Members  

 

1                                                          2                                                            

 

3                                                          4                                                             

 

Address                                                                                                          

 

                                                                                                                            

 

Postcode                                               

 

Tel No                                                 Mobile No                                            

 

E Mail Address                                                                                               

 

Car One

 

Model of Mini                                                 Reg.                                       

 

Car Two

 

Model of Mini                                                  Reg.                                        

 

Any Other Information

 

                                                                                                                            

 

                                                                                                                          

 

                                                                                                                          

 

Please enroll me as a member of Its a Mini Thing Mini Owners Club.

 

I enclose my membership  fee of 12.00 and I have read and agree to follow the members rules .

 

Signed                                                 Date                                       

 

Please send your cheque or postal order for the sum of 12.00  made payable to "Its a Mini Thing"  

to:-

    

Its a Mini Thing

9 Weir Road

Westwoodside

Doncaster

DN9 2DD      

    

PRINT FORM

 

itsaminthing MOC 2014