Membership Application Form

Please complete clearly in capitals and black pen and return to the Membership Secretary (address bottom right)

If you wish to pay by Banker's Order please complete the right hand side of the form, otherwise please send a cheque or Postal Order for the sum of £25.00 (includes £5.00 initial joining fee)

I hereby apply for membership of the Swift Motorhomes Owners Club

Surname/Title......

Forename(s)......

Family Members Forename(s)......

Address......

…......

Postcode......

Telephone number......

email......

Swift Model......

Year...... Reg.No......

I agree to abide by Swift Motorhomes Owners' Club rules

Signed......

Date......

I enclose Cheque/Postal Order/Bankers Order/Cash (please delete as necessary)

For Office Use Only

No...... Month...... Payment......

Banker's Order

To...... Bank Plc

Address......

…......

…......

Postcode......

Please pay SMOC, Lloyds Bank Plc, Petersfield

Sort Code :30-96-61 A/C No.00068835

the sum of £25.00 now and £20.00 annually on the first day of (fill in current month)

…......

from A/C No......

A/C Name......

Member'sAddress......

…......

…......

…......

Postcode......

Signature......

Date......

(This order is to continue until you receive written notice from me to cancel)

Bank Transfer information – (For Club use)

Please quote name and membership number......

PLEASE RETURN FORM TO :

SMOC Membership Secretary

Endswell

Doncaster Rd

Stainforth

South Yorks

DN7 5SB