Membership Application Form

To become a member of Central Mini Owners Club,please print this page off and fill in the details below.

 
Members details
Name
Telephone number
Email Address

Address

 

     
Car details
Make and Model
Colour
Year of Manufacture
Registration Number

Points of Interest

 

 

 

 


Signed
Date

Please enclose a cheque to Central Mini Owners Club of £12 to cover your annual membership fee. You can either send this form to the address on the right or hand it in to Gill or Martin at the next meeting of the club.

We look forward to hearing from you.

Central Mini Owners Club
49 Westmorland Road
Wyken
Coventry
CV2 5BP