Membership Renewal Form

    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)

    BANK TRANSFER PAYMENTS ONLY

    (PLEASE INCLUDE PAYMENT REFERENCE - eg Membership, RTV, CCV, Tyro)

    Bank details Account Name: NWLRC

    Sort Code: 40-39-16

    Account Number: 31150278

    Any queries please contact: nwlrc@btinternet.com

    SUBMIT AND PAY £20.00

    Scroll to Top