sc100 Enthusisasts Club membership application

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Your details

Your full name
Your email address
Address
 
City/Town
County/State/Prov
Postal code/Zip
Country
Planet
Telephone (with code)
Occupation


Car details

Year
Model
Mileage
Engine number
Registration
Body number
Colour
Condition
On the road?
History of car
Other useful information
Is it standard modified
Do you own any other classic vehicles?


Payment

The sc100 Enthusiasts Club is run on a non-profit basis, and an annual membership fee is charged to members to cover running costs.
Please send a cheque for fifteen pounds to: Samantha Brown, Secretary, Suzuki sc100 Enthusiasts Club, 57 Wordsworth Mead, St. Anne's Drive, Redhill, Surrey. RH1 1AH.

The cheque should be made payable to 'Suzuki sc100 Enthusiasts Club'.

I understand an annual membership fee applies, and that this form will not be processed until my cheque has been received and cleared

When you are happy that the form is filled in correctly, press the 'Submit application' button. The form will be sent to the sc100 club's membership secretary, Sam Brown samb@sc100club.com

Thank you for your time.

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