Locust Enthusiasts Club
Membership Application Form
First Name / Names:_______________________________________________________
Last Name:_______________________________________________________________
Address:_________________________________________________________________
Town:___________________________________________________________________
County: __________________________________Postcode:______________________
Home Telephone Number:__________________________________________________
Email Address:_____________________________Kit Name:______________________
Kit Donor:_______________________________________________________________
Engine:___________________________________Registration:___________________

Car Modifications Or Other Points Of Interest: (Continue on other side of form) ________________________________________________________________________

I am (Please Tick One Box)
An Existing Owner Building Just Interested

Annual membership runs from April to April and Costs £8.00, if you join mid
year you may need to pay a reduced amount next April.

 I enclose a cheque for £8.00

Please fill out this form and return it with your cheque made payable to:
"Locust Enthusiasts Club"
to the address below

Dave Hancock (Membership Secretary)
Locust Enthusiasts Club
46 Rivergarth
Darlington
Co Durham
DL1 3SJ