Application Form to Join

£20.00

  £2.00

  £2.25

  £5.00

Total:

Name:

Address:

(continue:)

City:

State/Prov:

Zip/Post. code:

Country:

Phone:

E-mail:

This form is not intended to be sent through the internet. After filling it in, please
PRINT AND MAIL IT.

Method of Payment

I own the following Velocettes or Velo-based Specials - state
Year...Model…….Frame#….Engine#…Gearbox#...Registration

To: MIKE SPINK
Velocette Owners Club Membership Secretary
32 WESTPORT CRESCENT
WEDNESFIELD
WOLVERHAMPTON
WV11 3JP
UK

Please fill in the form "on-line", then print out this page and mail the print-out with your sterling cheque to either the UK or the Overseas Secretary as appropriate.
  
Notes: 
1 Memberships run for one year from the first day of the month of joining
2 Membership details excluding machine information is held in the Club's computer database. Machine details are held on a separate database without ownership details. Under no circumstances  will membership details be disclosed to a third party without written consent from the member concerned. Members wishing to have their data held manually should advise the Membership Secretary

* Overseas applicants for membership are invited to make their payment using a Credit or Debit Card through the "PayPal" system. Unlike e-mail, PayPal is a secure method of payment through the internet. (To keep the membership fee at a minimum the Velocette Owners Club does not offer a "shopping basket" or "secure e-mail" facility for use of Credit Card numbers through the internet.) 
   PAYING BY CARD THROUGH OUR 
     PAYPAL COSTS YOU NO MORE 
If PayPal is used, you must still either complete the form above and post it to the Overseas Secretary, or you can e-mail all the information and tell Alan that you have used PayPal. To use PayPal, please click HERE.