MEMBERSHIP APPLICATION FORM Please PRINT clearly in BLOCK CAPITALS: (except "E-mail" address)
CURRENT MEMBERSHIP YEAR EXPIRES 30TH SEPTEMBER 2009 TITLE: MR / MRS / MISS / MS (Cross out non applicable) FIRST NAME(S): SURNAME: ADDRESS: POSTCODE:_______________TELEPHONE: __________________ MOBILE: _____________________ E-mail address: ____________________________________________ SUBSCRIPTION TO 30th SEPTEMBER 2009 ONLY £20-00
Make your cheque payable to 'Routemaster Owners Club' and send it with this form to: MRS LYNN BUNDA, ROUTEMASTER OWNERS CLUB, 231 MEADOW WAY, LEIGHTON BUZZARD, BEDFORDSHIRE LU7 3XS Signed:................................................................................Date:............................................... If you own a Routemaster(s) please provide details below. LONDON TRANSPORT FLEET NUMBER................................................................................ CURRENT REGISTRATION NUMBER..................................................................................... LIVERY / COLOUR...................................................................................................................... ENGINE TYPE.............................................................................................................................. CURRENTLY ROADWORTHY..................................................................................................... MOT CLASS..........................................COMMERCIALLY OPERATED....................................... PLEASE HELP US TO HELP YOU BY COMPLETING THIS JOINING FORM IN FULL USING REVERSE OF THIS SHEET TO DETAIL ADDITIONAL VEHICLES OWNED. | |||
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