ICENI MG OWNERS CLUB  - Area 0914

Membership Application form 2009

Name…………………………………………………………………………………..

Address ……………………………………………………………………………….

                ……………………………………………………………………………….

                ………………………………………………………………………………..

Post Code ……………………………………..

Tel No: ………………………………………..

Email ……………………………………………………………………………………

Car Details…………………………………………….Reg No……………………….

Membership Fee £12.00 per household.

Membership runs from 1^st January to 31^st December

Please make cheques payable to ICENI MGOC and send to

Roger Bear, 12 Meadow Way, Poringland, Norwich, NR14 7LZ

Your information may be entered on a computer database. This information will not be passed to any other club, company, organisation or individual.
The following information may be included in a registered club member’s list. This will be circulated to assist in personal contact between members.
 Name & address
 Telephone Number including Mobile
 Registration NO.
 Car Type
Please indicate here if you do not wish to be included in this listing . 

(Please delete as required)
I/we hereby agree to hold harmless absolutely the ICENI MG Owners Club and its officials and members for any loss or damage to property including motor vehicles belonging to me or any invited guests, or for personal injury or death caused to me or any invited guests whilst engaged in any activity organised by or promoted by the ICENI MG Owners Club, its officials or members. I/we also agree that any motor vehicle driven by me or invited guests at any event organised by or promoted by the ICENI MG Owners Club is fully insured as required by the relevant Road Traffic Act.
 

If you would like to receive newsletters as e-mail attachments please tick here  

Please note that we do not put member’s details on the club website.

However where possible the website and email are our preferred methods of communication

Website address:-    www.iceni-mg.org.uk