International Membership Renewal

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* Please note, you do not need a Paypal account to use this facility.
Please enter your details in the boxes below. Items marked with * must be filled in.

Membership Expiry Date: (day/month) * / / 2008
Membership Number: *
Title: *
First Name: *
Surname: *
Address 1: *
Address 2: *
Address 3:
Zipcode: *
Country:
Telephone Number: *
Email Address: *
Model of Westfield:
Other Manufacturer:
Registration Number:
Engine Capacity:
Engine Type:
Chassis Number:
Colour:

By answering "Yes" below, I apply for membership renewal of the Westfield Sports Car Club and agree to abide by the club rules. I also consent to the club holding my personal data in accordance with the DATA PROTECTION ACT 1984. Westfield Sports Car club will not make my data available to third parties without my prior consent.

I Agree