Membership Application / Renewal Form

Fees:- Member only……£7.50 Joint Member……£8.00

Each additional member……50p

Amount enclosed…………………

Subscriptions are due annually on January 1^st.

Please make cheques payable to: P&DRA.

PLEASE include a stamped self-addressed envelope for return of Membership Card

Which will also serve as receipt of your subscription.

If payment is not received by March 31^st. it will be assumed that you no longer

wish to be kept informed of the Associations activities.

Full Name………………………………………………………………………..

Partner(s) Name(s)………………………………………………………………

Address…………………………………………………………………………..

Post Code…………………..Telephone No……………………………………..

Car make/model………………………………………………………………….

Year………………………..Car Registration……………………………………

e-mail……………………………………………………………………………..

Please return completed form, payment and s.a.e. to:-

Donald Reeve

Oakley

19 Leigh Close

Tottington

Bury, Lancs

Tel: (01204) 887307