Join The Club

Club Joining Form

Please print the form below, fill in,scan and send to us at enquires@daimlerclub.co.uk

Alternatively you download the club joining form here

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THE DAIMLER ENTHUSIASTS CLUB
MEMBERSHIP FORM AND CHASSIS REGISTER

NAME                                                                 OUR REF:………
ADDRESS

POST CODE……………….E-MAIL ………………………………….……….…
PHONE NUMBER………..

FAX NUMBER…………………….
MAKE: MODEL:…………………………………………………………..…
REGISTRATION NO: YEAR:……………………………………………………………….
CHASSIS NO: ENGINE NO:………………………………………………….….
BODY NO: BODY TYPE: (e.g. DB18)………………………………..
BODY COLORS/S: INTERIOR COLOR/S:…………………………………….…
POWER STEERING YES/NO (delete as necessary) CONDITION:………………………………………………….….
ROAD WORTHY YES / NO (delete as necessary) LAST USED ON THE ROAD:………………………………
PRICE PAID:……………………………………………….POINTS OF INTEREST:
ANY INTERESTING HISTORY
…………………………………………………………….(If additional space is needed please write overleaf)
ANY OTHER DAIMLER MODELS LIST HERE
A PHOTOGRAPH FOR RECORD WOULD BE APPRECIATED IF AVAILABLE

DATE EXPIRY DATE………………..

ANNUAL SUBSCRIPTION : UK MEMBERS £26 – OVERSEAS MEMBERS £31 (Bank Transfer)> (Second year only UK MEMBERS £25- OVERSEAS MEMBERS £30 For Standing orders rate only)
(Delete as necessary)
Please return to: MR J. NASH, 100-102 FAIRMILE ROAD, CHRISTCHURCH, DORSET, BH23 2LN.

PLEASE MAKE OUT ALL CHEQUES TO: THE DAIMLER ENTHUSIASTS CLUB
NOTE: All information is confidential and only used to keep the register up-dated. Thank you for your help

FOR OFFICE USE ONLY 1/1/2014

MSC CLUB CARD SPARES LIST
MSL LETTERS SPARES UPDATES
CHASSIS REGISTER

NEWSLETTER SPARES ORDER FORMS
STANDING ORDER FORM FUEL FORM

SPARES LOAN FUND
INSURANCE FORM

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