BUCCANEER OWNERS CLUB—APPLICATION FOR MEMBERSHIP
Note: All applications are the subject of approval by the committee
1. New Membership- Joining Fee £15
Surname......................................................Forenames............................................................
Family members names 1.................................2...............................3..............................
Address..................................................................................................................................
.................................................................................................Post Code........................
E mail.......................................................Full telephone number............................................
Model of Caravan.................................................
3. Rallying Associate Member - Joining Fee £15.00
Surname...................................................................Membership Number...............................
First Names 1.................................2...............................3...............................................
Address.....................................................................................................................................
..........................................................................................Post Code..................................
Tel. No....................................................................e mail...................................................
Make of Caravan.................................................................................................................
I enclose a Cheque* /Postal Order* payable to Buccaneer Owners Club for £15.00* /£7.50*
*= Delete as appropriate
Please send the completed form and payment to- Mr J Rushton.
66, Ackworth Road, Pontefract,
West Yorkshire. WF8 4LH. Telephone 01977 793731
I am* / am not* willing for my address* / telephone number* / email* to be given to other members who might request them
* = Delete as appropriate
2. Associate Membership - Joining Fee £7.50
Surname....................................................................Membership Number..............................
First Names 1. ...................................2......................................3.......................................
Address...................................................................................................................................
..............................................................................................Post Code...............................
Tel. No. ....................................................................e mail..................................................
I wish to apply for New*/Associate*/Rallying Associate* Membership of the club
*= Delete as appropriate