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WEST DORSET VINTAGE TRACTOR & STATIONARY ENGINE CLUB LIMITED
Company Number 6560981
MEMBERSHIP APPLICATION / RENEWAL FORM 2012
NAME .....................................................................................................................................................
ADDRESS.............................................................................................................................................
.................................................................................................................................................................
...........................................................POST CODE.......................................................
TEL. NO. ....................................................................................................................
PLEASE COMPLETE THE FOLLOWING PARAGRAPH
I wish to apply for / renew (delete as applicable) membership of the West Dorset Vintage Tractor & Stationary Engine Club Limited for the year ending 31st January 2013.
I enclose payment of £14.00 single adult £15.00 family couple £1.00 child under 16 (delete as applicable)
CHEQUES TO BE MADE PAYABLE TO: WDVT & SE CLUB LTD
Signature.................................................... Date.................................
Please return signed & dated application form with your remittance to: IAN THOMPSON, MEMBERSHIP SECRETARY, 2 GATCOMBE CLOSE, DORCHESTER, DORSET, DT1 2AW
TEL. 01305-265309
If membership card is required immediately please enclose stamped addressed envelope
otherwise your membership card will be forwarded with the next available newsletter