Membership Form
SMOC Membership Form
Membership Fees:
Single £19 Joint £24 ** Family £29 All fees include a one off £4 joining fee.
Complete the form and submit it to us.
Then use BACS to pay your membership fee - using your mobile number as your reference.
BACS 20-02-62. 60090999
Or If you prefer send a cheque payable to SMOC with a list of all the details below to:-
PO Box 579 Rochester Kent ME1 9EB

Your details will not be shared with any third party.

Type of membership *
Your Name: *
Your answer
Additional member 1
Your answer
Additional member 2
Your answer
Additional member 3
Your answer
Additional member 4
Your answer
Your Full Address: *
Your answer
Postcode: *
Your answer
Home Tel:
Your answer
Mobile: *
Your answer
Email: *
Your answer
Occupation: *
Your answer
Date of birth:
MM
/
DD
/
YYYY
Interests:
Your answer
Where did you hear about the club?: *
Your answer
Mini / MINI model (1) *
Your answer
Mini / MINI Reg number (1) *
Your answer
Mini / MINI Year (1) *
Your answer
Mini / MINI Colour (1) *
Your answer
Mini / MINI Engine cc: (1) *
Your answer
Modifications: (1) *
Your answer
Mini / MINI model (2)
Your answer
Mini / MINI Reg number (2)
Your answer
Mini / MINI Year (2)
Your answer
Mini / MINI Colour (2)
Your answer
Mini / MINI Engine cc: (2)
Your answer
Modifications: (2)
Your answer
How many Classic Minis do you own
Your answer
How many BMW MINIs do you own
Your answer
Do you agree to receive communication by email, post and text? Yes/No *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service