North Wales Land Rover Club
Tel: 07768 958906

ASSOCIATE/FAMILY MEMBER DETAILS

FORENAME

SURNAME

EMAIL

DATE OF BIRTH (if under 18) (DD-MM-YYYY)


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FULL MEMBER DETAILS

FORENAME

SURNAME

MEMBERSHIP NUMBER


PLEASE INDICATE EVENTS OF INTEREST TO YOU

SOCIAL EVENINGSCAMPING / CARAVANNINGGREEN LANESTRIALSGENERAL MOTORING

ANY OTHER SUGGESTIONS


APPLICANT AND ALL ASSOCIATES AGREE TO KEEP THE RULES AND CONSTITUTION OF THE NORTH WALES LAND ROVER CLUB LIMITED (AND PARENT/GUARDIAN IF UNDER 18)


SUBMIT AND PAY £5.00