VW CABRIOLET
OWNERS CLUB G.B.

MEMBERSHIP APPLICATION FORM

Name _______________________________________ Tel No _________________________

Address ______________________________________________________________________

_____________________________________________________________________________

______________________________________ Post Code ______________________________

County _________________________________ Country ______________________________

E-mail Address ________________________________________________________________
( for club contact with you only & NOT distributed to any other parties )

Model _________________ Year ___________________ Engine Capacity _______________

Body Colour _____________ Hood Colour ___________ Chassis No ____________________

Country of First Registration _______________ LHD or RHD _________ Reg No ___________

If you hire your car for weddings and want details made available write 'YES' here ___________

If you wish your phone number to be passed to TV & film companies, write 'YES'  here ______

Your records will be kept on a database for the purpose of printing address labels and for club
statistics. Names and membership numbers ONLY are given to advertisers so that discounts
can be given to club members only, NO OTHER DETAILS ARE GIVEN WITHOUT
EXPRESS PERMISSION.
If you prefer not to receive discounts and do not wish your name and number to be forwarded
to advertisers please state this below alongside your signature.

Signature ___________________________________________

All completed forms to be returned with payment to :-

Andrew Esling - Membership Secretary,
Flat 12, The Sovereigns, Queens Road, Maidstone, Kent, ME16 0JG.

Cheque to be made payable to VW Cabriolet Owners Club GB
membership fees:

U.K. Membership £22.00  
 Overseas Membership £25.00
U.K. Family Membership £27.00
Family membership allows 2 people over the age of 17 years to vote and take part at the AGM,
but only 1 magazine will be sent per household. Benefits are only available to Club Members.
PLEASE COPY THIS FORM AS REQUIRED