North Wales Land Rover Club
Tel: 07768 958906

Please leave this field empty.

FULL MEMBERSHIP DETAILS

FORENAME

SURNAME

MEMBERSHIP NUMBER

EMAIL

ADDRESS

PHONE

PLEASE SPECIFY IF YOU PREFER YOUR TELEPHONE NUMBER TO BE USED FOR EMERGENCIES ONLY

YES, EMERGENCIES ONLYNO, I DONT MIND


VEHICLE TYPE

DEFENDERDISCOVERYSERIES 1, 2, 3RANGE ROVERFREELANDER

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 £20.00