Harrogate MG Club

                                        MEMBERSHIP  FORM 2017

                                                       Please Print

 

Name:  1)____________________________________________________

 

             2)____________________________________________________

             Address:  ____________________________________________________

                            ____________________________________________________

Postcode: ___________________  Tel. No:_________________________

 

e-mail ____________________________________________________

Do you want to receive information (not The Distributor) by e-mail  yes/no

 

Current MG's ________________________________________________

 

                      MEMBERSHIP FEE: 15  Per Person  

I wish to become a member of the Harrogate MG Club for the year

1st January 2016 to 31st December 2017. 

I confirm that I have a copy of the Rules and Objectives 

of the Club and that I am willing to abide by the Rules.

Please sign below:

 

______________________________       Date:____________________

_____________________________         Date:____________________

 

We are obliged under the Data Protection Act to inform

you that your details will be held on computer.

Return this form to

George Grayson,     68 Half Mile Lane, Bramley, Leeds LS13 1BJ

 

Total amount enclosed  ______________  Cash/Cheque.

 

Please make cheques payable to:  Harrogate MG Club.