APPLICATION for MEMBERSHIP Of

APPLICATION FOR MEMBERSHIP of THE POST VINTAGE HUMBER CAR CLUB Subscriptions Rates which include £2-50 joining fee in the first year only are

UK MEMBERSHIPS £22-50 REST OF THE WORLD MEMBERSHIPS £25-50

Thereafter subscriptions are £20-00 and £23-00 per annum respectively.

Payment by UK applicants may be by Cheque, Postal Orders or online, overseas applicants should pay by International Money Order made out in Pounds Sterling or online. All payments should be made payable to the 'PVHCC LTD' and sent with this form to Michael & Christine Edwards Membership, Westlands, Weston Rhyn, Oswestry, Shropshire SY10 7LB Tel: 0381633158226 Email: [email protected] Surname Forename House No. or Name Street / Road Town City Postcode Country Family Member Surname Family Member Forename Telephone Number Email Address 1984 Data Protection Act A condition of membership is your agreement to details being held on computer. By signing this form you agree to this. The Information will not be disclosed to third parties but used for the efficient running of the Club by its officials.

I enclose remittance of £______as my first years membership subscription.

Signature Date

HUMBER CAR DETAILS (optional) Registration Number Year of Manufacture Model & Derivative [e.g. Hawk Mark IV] Body Style [e.g. Saloon / Estate / Limo ] Engine Capacity [e.g. 2265cc] Chassis Number [if known] Engine Number [if known] Transmission [e.g. Manual / Automatic / Overdrive] Colour Exterior / Interior Overall condition [Concours / Good / MOT Standard / Restoration / Breaking for spares] Notable History or points of interest - continue on a separate page if necessary For office use only No CH / C / PO COMP MEMB CARD WELC MAG NEW MEMB LOC GRP Club is a wholly owned & operated subsidiary of PVHCC Ltd. Registered Office – 9 Farmhouse Way, Waterlooville, Hampshire PO8 9LF. Registered in Cardiff - Number 6039320