Membership Application – 12 Months by Direct Debit

The Wolseley Owners Club Membership Application

 

You have chosen to pay Annually by Direct Debit

 

Please complete the following form. When you have completed the form, press the “Submit” button at the bottom of the page which will forward you to GoCardless to complete your payment and confirm your membership.

Items marked with * are required.

    Your Details

    Title: *

    Surname: *

    First Name(s): *

    Date of Birth: *

    E-Mail Address: *

    Postal Address: *

    Telephone Number (Home):

    Telephone Number (Mobile):

    Vehicle Details (optional)

    If you have more than one vehicle, you can add additional vehicle details once your membership application has been processed

    Make:

    Model:

    Year:

    Registration Number:

    Colour:

    Car/Chassis Number:

    Engine Number:

    Current Vehicle Insurer:

    Insurance Renewal Date:

    Interesting History or Facts:

    Can You Help?

    Like all voluntary organisations, The Wolseley Owners Club is always looking for any assistance. If you feel you can help us to run your club, or have any specialist skills or facilities that could benefit the club or its members, please let us know.

    Please tick as many boxes as applicable

    AdministrationAdvertisingSecretarialEvent OrganisationRegional ContactLegalTechnicalHistorical

    Details of any specialist skills or facilities:

    Club Questionnaire

    We would appreciate your input by filling in this short questionnaire. You will be helping to shape the future of your club. Please let us know what events interest you most, tick all that apply:

    Static Shows

    Small Village ShowsLarger National ShowsOne Marque ShowsJoint Shows with Other Clubs

    Approximately how far would you be willing to travel for a static Show?

    Driving Events

    Small Local RunsLarger National RunsInternational Driving Events

    Roughly how far would you be willing to travel for a Driving Event?

    Social Events

    Hands on Workshop DaysTreasure HuntsAutotestsLocal Pub Meets/BarbequesOrganised Visits To Museums etc.Concours CompetitionsQuiz/Raffles & Other CompetitionsTechnical Talks & Shows

    Other:

    Please use the space below for any additional information or comments you would like us to know about.

    I agree to the Wolseley Owners Club terms and conditions (to read these click here)

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