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 - WWW1

Please enrol me as a member of the CHESHIRE REGION - Jaguar Enthusiasts' Club 

Name ...........................................................................


Address ........................................................................


.................................................................................


........................................... Post code ..........................


Telephone Number: (Home) .....................................................


I enclose my cheque payable to Jaguar Enthusiasts' Club Ltd

 for 34 Pounds [UK - 29 + 5 joining fee] or 36 Pounds [Overseas] 
                    
(or) I wish to pay by  Visa [   ] / Mastercard [   ]


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


Signature ................................ Date ...............................
I have no objection to my membership being stored on computer
OFFICE USE ONLY   No....................Disp................................(CHESHIRE REGION)