New Members form.

ONLY Complete this form if you are applying for a NEW 12 month membership. Existing members login and use My Account

Your membership is conditional on providing the club with full information in the form below. You should note that the information will be stored on a computer. You must sign to accept this and to confirm that the information is correct in compliance with the General Data Protection Act. North West Casual Classics does not sell, pass on or distribute any email addresses supplied by members and this data is for the sole use within the club. This includes allowing our Committee Members access to the data for their official purposes and they are then bound by the principles of the General Data Protection Act. No member data is ever sold or passed on to a third party.

Instructions
1. Select membership required.
2. Complete form
3. If selected Student please upload a copy of your student id.
4. complete image code
5. Submit details
6. Pay by PayPal you will be redirected to paypal for this.

Membership level

12 Months NWCC membership 20 GBP

12 Months Student Membership 20 GBP

Name*

Surname*

Address 1*

Address 2

Post Code*

E-mail*

Mobile

Home Tell

Do you own a classic vehicle*

• Yes
• No

Vehicle Make

Vehicle Model

Registration Number

Please upload a copy of your student ID. If you have applied for student membership

Student ID

Upload

Submit Details off

Annual membership is £20 or £15 for student (with union card if applicable). Your membership card will be posted to you.

Please email members secretary if you need any help with this form.

**Existing members wishing to renew please logon and visit your account**