Membership Application Form

NAME: ................................................................................................................................
ADDRESS:  ……….………………………………………………………………….……….........................
……………………………………………………………………………………………….….........................
…………………………………………………..........................POSTCODE: ………..…………...............
E-MAIL ADDRESS: ……………………………….... ............TELEPHONE No: ………………..............
YOUR VEHICLE DETAILS:





I am happy for my name, locality and car details to be printed in the club magazine under the ‘Welcome to New Members’ heading. YES/NO. (Delete as applicable)

Signature................................................................
Note: The data supplied above will be stored electronically and/or manually, and will not be communicated to a third party.
Please send your completed form, together with a cheque made payable to ASCO for the appropriate amount (see Subscription Rates below), to:
Barry Paine, (ASCO General Secretary),
14, School Lane,  Little Melton,  Norfolk.  NR9 3AD.   England.
SUBSCRIPTION RATES:

      




*Note 1: Renewals are due annually on 1st April at the April-May rates, so to save those joining between December and March from having to renew after such a short time, a Renewal for the following year has been included in the Dec/Jan and Feb/Mar rates.
Note 2: If you have more than one Singer, please add details of the other(s) on the back of this form.
MODEL:
MARK or SERIES:
YEAR:
BODY TYPE:
REG.No:
HP or CC:
ENGINE No:
CHASSIS No:
*JOIN DURING >
Apr-May
Jun-Jul
Aug-Sep
Oct-Nov
Dec-Jan
Feb-Mar
United Kingdom:
£22.00
£18.30
£14.65
£11.00
£29.30
£25.65
Europe:
£25.00
£20.80
£16.65
£12.50
£33.30
£29.15
Rest of the World:
£30.00
£25.00
£20.00
£15.00
£40.00
£35.00