Membership Application Form

I wish to become a member of the NACC and enclose the membership fee of:


................................

I agree to abide by Club rules during my membership.


Name .................................................................................................

Address ...............................................................................

Post Code……………

Country............................................................................

Within the UK, the membership fee is £10 + a £3 joining fee. For the rest of Europe the fee is £12 + £3 joining fee and outside Europe it's £16 + £3 joining fee. Anyone residing at the same address as a full member may join as an associate member for an additional fee of £3 (no joining fee).


Associate Members ..........................................................


.................................................................................................

........ Tick if you would not like your name and address to appear on the Club's membership list.

Signed ....................................................

Date.........................................

Payment by cheque or Postal Order only, made payable to:

"National Autocycle & Cyclemotor Club Ltd." in Pounds Sterling. Return to: NACC, 72 Glenthorne Drive, Cheslyn Hay, Walsall WS6 7DD

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