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ANNUAL MEMBERSHIP RENEWAL FORM

You will have received the TOC annual renewal notice in May.

If there are any changes to be made, you can either update the letter you received and send the completed form to:

John Oates
TOC Membership Secretary
55 The Knoll
Tansley
Matlock
Derbyshire
DE4 5FP

Or alternatively, you can update the details below.

NOTE: You must complete all of the Personal Details Section and then the appropriate information in Car Details.

Personal Details  * mandatory field

Membership Number:

Title:  *  Initials:  *  Surname:   *

First Name:

 *

Address:

 *


Post/Zip Code:

 *

Country:

 *
Other Country:

Home Telephone:

 *

Email:

 *
You will automatically receive a copy of the renewal form

Car Details

Registration No:

Chassis No: Model: 

Engine No:   Engine Capacity : 

Country of Manufacture:   Year: 

Colour: 

Condition:

Other points
of interest:

Changes to other cars :


If there are changes to other cars please enter them here.
If you have sold a car since last renewal, please give registration number and name of new owner.

Membership

  TOC Badge

Please tick:

 Membership Fee £33.00

 Magazine Postage (if your address is outside the European Union) £12.00

Spares Levy Scheme (Optional) £54.00 (inc 20% VAT). Click here for more details

 TOC Grille Badge (Optional) £20.00

 Total Remittance (GBP) 

Payment Details

Please indicate by which method you will be paying. Details of how to pay will appear after submitting the form

 Sterling Cheque

 PayPal

 Bank Transfer

 Credit Card

Please enrol me as a TOC member

I would like my details (Name, Address, Car Details) to be made available to other TOC members

Note: The TOC will not release your details to any other organisation.

      

Registered Office: 58 St Augustine Road, Griffithstown, Pontypool, Gwent, NP4 5EZ.
Registered in England No. 2920390. Traction Owners Club Ltd. Last updated – March 2010

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Page last updated: 26/07/2010

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