New Member Form

    FULL MEMBERSHIP DETAILS

    FORENAME

    SURNAME

    EMAIL

    ADDRESS

    PHONE

    HAVE YOU BEEN A MEMBER OF NORTH WALES LAND ROVER CLUB BEFORE?

    YESNO

    IF YES, MEMBERSHIP NUMBER

    VEHICLE TYPE

    DEFENDERDISCOVERYSERIES 1, 2, 3RANGE ROVERFREELANDER

    PLEASE INDICATE EVENTS OF INTEREST TO YOU

    SOCIAL EVENINGSCAMPING / CARAVANNINGGREEN LANESTRIALSGENERAL MOTORING

    ANY OTHER SUGGESTIONS

    HOW DID YOU HEAR ABOUT THE NORTH WALES LAND ROVER CLUB?

    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 £25.00

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