Guernsey Mini Owners

Joining Application Form

 

Name: .........................................................................................................

(Block capitals)

 

Address : ..................................................................................................

..........................................................................................................................

.......................................................................Post code ................................

Phone No's:  Home ..................... Mobile.............................................

Email address ..............................................

Mini(s) (model and year) ................................................................................

...................................................................................Reg. No. ........................

Subscription : £ 10.00 (Overseas £5.00)

Cheques payable to the "GMOC"

 

Post to: GMOC,  St Christopher,  Rue du dos dane,  Castel,  Guernsey, GY5 7LA

 

Official use only

 

Date Joined ......./......./...... Membership number ........

 

Date Subscription received ......./......./.......

 

Paid: .......................................

(signed by Treasurer)