MIGClub Membership Application Form.

To become a member, please fill in the following form, print it, sign it and return it with payment to the address shown.  If you do not have a printer, write down the required details clearly on some paper instead.  Annual fee is £15.

Title
First Name
Surname
Address
 
 
County


This is needed to calculate which MIG region you are in.
Post Code
Please make sure you include this
Phone Number
Mobile Number
Email Address
MIGWeb Username
Car Model
Car Reg Number

Please note, prices will increase as of 1st May 2002.  Memberships are currently being sent with free MIG keyrings.

I have enclosed a cheque made payable to MIG Performance Vauxhalls for £15.
 


Signed: ...........................................................................................

Don't forget, Membership must be renewed annually,  Please include a cheque made payable to MIG Performance Vauxhalls.  We look forward to hearing from you.  Membership pack is usually dispatched well within 28 days.  Send forms to:

MIGClub
39 Edelvale Road
Southampton
Hants
SO18 5PQ