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PENNINE LAND ROVER CLUB MEMBERSHIP FORM |
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PENNINE LAND ROVER CLUB LTD |
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APPLICATION FOR MEMBERSHIP/REJOIN |
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Please fill in the opposite form making sure that
you print your name and |
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address clearly as this will be your mailing address
for your club magazine |
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Please use block letters (your Bottom Box will be
posted here) |
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Bottom Box' and other additional flyers |
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Mr / Mrs / Miss / Ms (please circle) |
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The imformation kept is on a computer and is
primarily used for printing |
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Members Surname |
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out your address label. It may also be used to
contact you urgently should |
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First Names |
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the need arise. |
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Address |
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The information is confidential and will only be
disclosed to other PLRC |
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members with good reason for requesting the
information. If the box is |
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ticked, the information will not be disclosed. Even
if the box is not ticked, |
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Post Code |
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Tel. Number |
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the information will not be sold,swapped or given to
any other third party. |
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Email Address |
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Associate members are for family members only. They
have the same |
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Please tick if you do not wish your info disclosed
to others |
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rights as full members but they do not receive the
club magazine and |
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Please tick if you
object to your details being held on a computer |
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other published information. |
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Associate Members full name (family only) |
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Mr / Mrs / Miss / Ms |
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PLEASE MAKE SURE THAT YOU INCLUDE YOUR POSTCODE AS
THIS |
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Mr / Mrs / Miss / Ms |
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WILL HELP ENSURE THAT YOUR CLUB MAGAZINE IS
DELIVERED TO |
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THE CORRECT ADDRESS. |
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Subscriptions |
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Annual (member) |
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£20 |
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Please return completed forms to: |
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Associate Member |
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£5 |
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Mrs Joy Holland |
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Joining Fee (New Members) |
£1 |
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12 Granny Lane |
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Please make cheques payable to 'Pennine Land Rover
Club Ltd' |
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Mirfield |
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West Yorkshire, WF14 8LA |
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I wish to join/rejoin Pennine Land Rover Club Ltd
and agree to abide |
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Tel 01924 493046 |
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by the club rules at all times |
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For Re-join please give
your last years membership |
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Signed |
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Date |
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Member ______ Associate _______
Associate _______ |
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