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Vanden Plas Owners Club Application Form
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* Indicates required question
Name
*
Your answer
Postal Address
*
Your answer
Postcode
*
Your answer
Membership Type
*
Choose
e-Membership (No geographical restrictions. All communications by email only)
UK
Europe
Worldwide
Are you a New or an Existing/ Renewing Member
*
Choose
New Member
Existing/ Renewing Member
Telephone Number
*
Your answer
Email Address
*
Your answer
Car Type & Make
*
Your answer
Registration Number
*
Your answer
Date of First Registration
*
MM
/
DD
/
YYYY
Chassis Number
*
Your answer
Engine Number
*
Your answer
Exterior Colour
*
Your answer
Interior Colour
*
Your answer
Transmission
*
Choose
Manual
Automatic
Type of Use
*
Shows
Everyday
Occasional
To be Restored
Required
Payment of Appropriate Fees
*
Choose
I have paid the appropriate fee Online by Credit or Debit Card
I have set up a Direct Debit for payment of the appropriate fee
I have made a Bank Transfer for the appropriate fee
I have sent a Cheque to the Membership Secretary for the appropriate fee
I paid Cash at a Show for the appropriate fee
I paid by Card at a Show for the appropriate fee
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