Membership Form
SMOC Membership Form
Membership Fees:
Single £15 Joint £20 ** Family £25
Complete the form and submit it to us.
Then use BACS to pay your membership fee - using your mobile number as your reference.
BACS Account Name- Southern Mini Owners Club 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 AND SURNAME *
Additional member 1
Additional member 2
Additional member 3
Additional member 4
Your FULL Address: *
Postcode: *
Home Tel:
Mobile: *
Email: *
Occupation: *
Date of birth:
MM
/
DD
/
YYYY
Interests:
Where did you hear about the club?: *
Mini / MINI model (1) *
Mini / MINI Reg number (1) *
Mini / MINI Year (1) *
Mini / MINI Colour (1) *
Mini / MINI Engine cc: (1) *
Modifications: (1) *
Mini / MINI model (2)
Mini / MINI Reg number (2)
Mini / MINI Year (2)
Mini / MINI Colour (2)
Mini / MINI Engine cc: (2)
Modifications: (2)
How many Classic Minis do you own
How many BMW MINIs do you own
Do you agree to receive communication by email, post and text? Yes/No *
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