Mazda Rx-7 Owners Club (UK) MEMBERSHIP FORM For further information please telephone our Club Line on 07071 797797. Full Name (Title, First name & Surname)                                            _______________________________________________ Address       _______________________________________________                       _______________________________________________ Postcode      _________________________________ Telephone     _________________________________ RX-7 Details Model            ________________    Year        _____________ Colour           ________________    Reg. No. _________________ "I am interested in attending events" (Please delete if not applicable) To become a member you pay an annual subscription of £15.00 and a one-off joining fee of £5.00. The membership year runs from January to December of each year. Applications received after 1st September will be for the following year. To join, please complete this form and send along with a cheque for £20.00 (made payable to "Mazda RX-7 Owners Club (UK)") to the following address: Membership Secretary, Mazda RX7 Owners Club (UK), 65 Coyne Road, West Bromwich, West Midlands, B70 7HJ I certify that the above details are correct and agree to abide by the terms and conditions of the Club (available upon request). Signature _______________________           Date ________________________ Issued by A.Lines (RX-7club.org)