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The Charity Classic Car Club

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					The Charity Classic Vehicle Club                                    Visit: www.ccvcuk.co.uk
C/O 34, Greygoose Park,
Harlow, Essex,
CM19 4JN
                                            MEMBERSHIP APPLICATION
Type of membership (please tick)                                                                   Membership no:
Single     Family        Enthusiast      Honorary  Retired            Life   
About You
Applicant’s Name                                                  Joint Applicant’s Name

Address                                                           Address (if different)




Post Code                                                         Post Code

Tel No                                                            Tel No

Email *                                                           Email *

Membership of
other Car Clubs
About Your Vehicle(s)
Year              Make & Model                                                                     Reg No




Payment (All memberships are renewed on 1st January)
Period of membership                                12 months                              Amount Enclosed
Single,   Enthusiast                or               £20.00
Honorary Membership
Family Membership                                    £23.50
Retired over 65yrs (single                           £15.00
membership)
Life Membership                                     £200.00
Voluntary donation

                                                                TOTAL £
                                            (Cheque payable to CCVC)
I/We agree to accept the rules of the Charity  Signature of Applicant
Classic Vehicle Club



                                                Signature of Joint Applicant



For CCVC      Date Rec’d                        Expiry date                  Paid In               Card(s)Issued
Use Only




* Emails will only be used for club matters.

				
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posted:10/7/2011
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