Application form

Joining Wheelrights

Print this form, fill it in by hand to join Wheelrights (or renew lapsed membership) and send it with your remittance as indicated below.

Membership fees
Annual subscription: �5.00 [�3.00]
[ ] indicates concessionary fee which applies to students and the unwaged (eg retired). Note that the sub. applies to the Calendar year and payments made after 30 June are valid for the following year.

Payment
Postal payments should be by cheque payable to "Wheelrights" and should be sent with the form below completed to: Geoff Wood, 56 Bryn Aeron, Dunvant, Swansea SA2 7UX.


 Wheelrights application form
Category: Normal/Concessionary^*
Title/First name/Surname ............................

Address .....................   Phones: Home: ..................

        .....................           Work: ..................

        .....................         Mobile: ..................

        .....................   E-mail: ...........................

          OK to receive info by e-mail? (Delete if not.)

I enclose a cheque/have paid cash^* for �...... being my fee
for 2007 for the membership category indicated above.

Signed: .................. Date: ............

^* = Delete as applicable.

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