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:
£20.00
£16.70
£13.40
£10.00
£26.70
£23.40
Europe:
£21.00
£17.50
£14.00
£10.50
£28.00
£24.50
Rest of the World:
£23.00
£19.20
£15.40
£11.50
£30.70
£26.90