Application to Join the MURVI Club
After completing this form, press 'SUBMIT' then make payment as instructed.
Surname(s) *
if two people travel together list both surnames if different
Your answer
Forename(s) *
As you like to be called; if two people travel together, please list both names
Your answer
House
House name or apartment number (or leave blank)
Your answer
Street *
house number and street name
Your answer
Locality
village or suburb or small town
Your answer
Town *
if large post town, otherwise county
Your answer
PostCode *
Your answer
Landline
Your answer
Mobile
Your answer
Vehicle Reg No *
This will help reconcile online payments (TBC if awaiting delivery)
Your answer
Murvi Model
Your answer
Email *
Your answer
Email2
if you have a second email address you wish to receive copy emails
Your answer
Sharing *
We produce a members list; this is only made available other members. Please choose whether you want your Name, Post town (but no other address details), Landline and mobile telephone numbers (if provided), Email address and Murvi vehicle registration number to be shared with other members. The Members List will NOT be accessible to those who refuse to share.
Email Chat *
Check the box if you do NOT want to be included on the email chat group? This email list enables members to chat to each other on Murvi related topics
Payment *
How will you pay your membership fee of £5? By Bank transfer or cheque? Details of where to send payment will be shown on the confirmation page after you have submitted the form
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