Membership application form 

 

I/We wish to APPLY FOR/RENEW Membership of City of Leeds MG & Classic Car Club for 2012 

NAME ............................................................................................................................................. 

ADDRESS ........................................................................................................................................ 

................................................................................................. POSTCODE ............................... 

TEL NO’S (Home) ................................................................... (Mobile )………………………………... 

e-mail address ............................................................................................................................... 

Car make and model ....................................................................................................................... 

....................................................................................................................................................... 

Preferred way of receiving the club newsletter – please tick one

E-mail      Post 

 

Subscriptions for 2012 are £7.50 PER PERSON. Please make cheques for payable to City of Leeds 
Classic Car Club. 

Please read and sign the declaration below:- 

I understand that the information I have given here will be stored on computer for club use. It will 
only be used for club business and will not be shared for any other use. 

SIGNED ................................................................... DATE………………………………... 

The completed form and payment should be brought to a club night or posted to 
the membership secretary :- 

Susan Lacey
32 Parkstone Avenue
Leeds
LS16 5EN
0113 2755621