NG OWNERS CLUB

Application for membership

Please print this form, fill out and return to:

Bob Morrison
NGOC Membership Secretary
11 Cox's Road
Shrivenham
Oxon SN6 8EL

The annual membership fees are:

£10.00 by standing order or £12.00 by cheque, which should be made payable to the "NG Owners Club", and are due on 1st January each year.

Personal Details:

Title:	......................................................................................
Forename:	......................................................................................
Surname:	......................................................................................
Address:	......................................................................................
	......................................................................................
	......................................................................................
Post Code:	......................................................................................
Telephone:	......................................................................................
e-mail:	......................................................................................

Car Details:

Manufacturer:	......................................................................................
Type/Model:	......................................................................................
Donor:	......................................................................................
Colour:	......................................................................................
Built:	......................................................................................
Engine:	......................................................................................
Reg No:	......................................................................................

To pay by Standing Order, please fill out the SO form