Locust Enthusiasts Club
Membership Application Form
First Name / Names:_______________________________________________________
Last Name:_______________________________________________________________
Address:_________________________________________________________________
Town:___________________________________________________________________
County: __________________________________Postcode:______________________
Home Telephone Number:__________________________________________________
Email Address:_____________________________Kit Name:______________________
Kit Donor:_______________________________________________________________
Engine:___________________________________Registration:___________________

Car Modifications Or Other Points Of Interest: (Continue on other side of form) ________________________________________________________________________

I am (Please Tick One Box)

An Existing Owner Building Just Interested
 

Annual membership runs from April to April and Costs 10.00. If you join mid
year you may be entilled to pay a reduced amount next April.

 

 I enclose a cheque for 10.00

Please fill out this form and return it with your cheque made payable to:
"Locust Enthusiasts Club"
to the address below

Kevin Ridings (Membership Secretary)
Locust Enthusiasts Club

83 Carrs Road
Marsden
Huddersfield
HD7 6JJ