The Sporting Escort Owners Club.

 

                                        Application For Membership.

                              For U.K. And Northern Ireland Only.

 

Name ……………………………………………………………………………………

 

Address …………………………………………………………………………………

 

…………………………………………………………………………………………..

 

…………………………………………………………Post Code……………………..

 

Tel No ……………………………………. E-Mail Address ………………………….

 

Details Of Car

 

Year ………………………………………. Engine Capacity …………………………

 

Registration No …………………………………………….

 

Colour ……………………………………….. Original Model Type …………………

 

Other Details (Mods. Etc.) ……………………………………………………………..

 

………………………………………………………………………………………….

 

………………………………………………………………………………………….

 

………………………………………………………………………………………….

 

Chassis No. …………………………………………………………………………….

 

I Enclose Cheque / Postal Order For £

 

Made Payable To ‘THE SPORTING ESCORT OWNERS CLUB’

 

SIGNED ………………………………………………….  DATE ………………….

 

Return Form To :

The Secretary,

Mrs Paula Lane

111 Drysdale Avenue,

Chingford,

London,

E4 7PD                      We Reserve The Right To Refuse Applications.