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JEC Membership Application Form
Please print this form (portrait) complete in black ink
and return with payment to:

Jaguar Enthusiasts' Club
The Old Library
113A Gloucester Road North
Filton
Bristol
BS34 7PU

or if paying by credit card, Fax to
01179 089688 [UK]   +44 1179 089688 [International]


MEMBERSHIP APPLICATION FORM - Jag-lovers Web

Please enrol me as a member of the Jaguar Enthusiasts' Club


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





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





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





........................................... Post code ..........................





Telephone Number: (Home) .....................................................





I enclose my cheque payable to Jaguar Enthusiasts' Club Ltd



 for 28 Pounds [UK - 23 + 5 joining fee] or 33 Pounds [Overseas] 

                    

(or) I wish to pay by  Visa [   ] / Mastercard [   ]





Card No .................................. Expiry date .......................





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

I have no objection to my membership being stored on computer

OFFICE USE ONLY



No ........................................





Disp ......................................





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

 

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