JEC Membership Application Form

Please print this form (portrait) complete in black ink
and return with payment to:
Jaguar Enthusiasts' Club

or if paying by credit card, Fax to
01179 791863 [UK] +44 1179 791863 [International]

MEMBERSHIP APPLICATION FORM - WWW2

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 37 Pounds [UK - 32 + 5 joining fee] or 39 Pounds [Overseas] 
                    
(or) I wish to pay by  Visa [   ] / Mastercard [   ]


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

Security Code ......... (Last 3 digits on the Signature strip)

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

I have no objection to my membership being stored on computer

OFFICE USE ONLY   No....................Disp................................