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Please enrol me for 12 months.
Name________________________________________________
Telephone (Day)________________ (Eve)___________________
Email ________________________________________________
Address______________________________________________
_____________________________________________________
_____________________________Postcode_________________
Car Details: Model____________________________Year________
Registration Number______________________________________
Chassis Number_________________________________________
Colour________________________Mileage__________________
Special Features_________________________________________
Applicant’s Signature_____________________________________
Date________________
Please make cheque for £25 payable to RMOCI.
Your details will be held on computer and treated with confidentiality.
You will be asked later if you are willing to share your
contact details with other members.
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