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