THE ROVER P6 CLUB

 P.O. Box 1477, Wolverhampton WV10 8WZ  

Clubline/fax 01902 689975    www.p6club.com [1]

MEMBERSHIP APPLICATION FORM

Please fill in details below in BLOCK LETTERS 

I/We……………………………….............................................................(full name) 

of………………………………..................................................................(address)

 ……………………………….....................................................................(town)

 ………………………………......................................................................(county) 

………………………………....(postcode)

…………………………….........(country) 

Tel. No. ……………………………………Mobile................................................... 

Email address………………………………........................................................... 

wish to apply for membership of the RP6C, and agree to abide by the rules and conditions of the club. 

Signed………………………………........................  Date……/……/……… 

Membership Fee @   £                  p.a.       

(£25.00GBP for mainland UK,  £28.00GBP for European, £31.00GBP for the rest of the world)

(cheques made payable to RP6C) 

Where did you hear about the RP6C………………………………........................... 

Please fill in brief details below of your car,

[Series 1.….]   [Series 2.….]  [Manual …..]  [Auto…..] [SC …..]  [TC …..][2000.….]   [2200.….]  [3500.….]  [UK spec…..]

[Other spec………………………..]

Condition  [concours….] [show….] [everyday….] [non runner….] [project….]

Body colour………………………………

Interior Colour………………………………. 

Registration No……………………………….....

Date of Registration……./……../…… 

PLEASE BE AWARE THAT MEMBERS DETAILS MAY BE SHARED WITH CLUB OFFICIALS ONLY. PLEASE CONTACT THE CLUB MEMBERSHIP SECRETARY FOR DETAILS.

PLEASE TICK BOX IF YOU DON’T WANT YOUR MEMBERSHIP ANNOUNCED IN THE MAGAZINE