Swansea Motor Club
Membership Application Form  

Name ..............................

Address ........................................................

Post Code ..................

Tel no Home ..................	Work ............... Fax .................

Mobile ..................	Email ...................

ARE YOU A MEMBER OF ANY OTHER MOTOR CLUB?

If yes please list clubs .....................................

In order that the club can build an accurate picture of it's membership,
please list briefly your Motoring, Sporting and Social interests and details
of car(s) owned.

............................................................................

Please complete and return to the membership secretary

Steve Lloyd, 16, Southward Lane, Langland, Swansea, SA3 4QE Tel 01792 368684

Membership Fees

ANNUAL MEMBERSHIP £15.00 (Inclusive of spouse and children up to 16 years)
Student Membership £7.50 (on production of valid Student Union card)
Young person's membership: £7.50 (under 21 years of age)
Cheques made payable to Swansea Motor Club

Data Protection Act 1984
For mailing purposes details of membership are kept on computer disc.
 I do/do not* object to personal details being held for this purpose. Copies of
personal information held will be supplied on request(*Delete asnecessary)

I hereby apply for membership of Swansea Motor Club and if accepted agree to
be bound by the Rules & Constitution of the Club

Signature ..................    Date .............