Membership Application Form

Please complete the below form and press the submit form at the bottom. 

Name:
Partners Name
Address
PostCode
Telephone Number
Email Address:
Do you already own your Gentry? Yes, I built it
Yes, I bought it complete
Yes, I am in the process of building it
No not yet, I am looking for a completed one
No not yet, I am considering a kit
No, I wish to join the Register but am not looking to buy either a kit or car at present
Vehicle Registration Number
Cubic Capacity
Overdrive Fitted Yes
No
Engine Make
Chassis Make
Standard or 2 + 2 Body Type Standard
2 + 2
Wheel Size
Registered As?
Body Colour
Is the car completed? Yes
No
Almost, hoping it will be very soon!
If 'Yes' to previous question, Do you know the date is was completed?
Members Breakdown Scheme Loan of Tools at Home
Will travel 15 miles with tools and help repair
As in (B) but if unable to repair, will tow to a garage or a reasonable distance
Can offer overnight accommodation in an emergency
Unable to offer anything at this time
How would you like to pay your membership? On line using Paypal (Not yet available, but please indicate if this is an option you would consider)
Send cheque in post (Cheques should be made payable to 'The Gentry Register')
Speak to Secretary regarding standing order

If you wish to speak to the Club Secretary, Ray Hill about your membership or in order to post a cheque he can be reached at the following details:

Mr Ray Hill

14 Station Road, St. Georges, Weston-super-Mare, N. Somerset BS22 7XH

Telephone 01934510607

or by email by clicking here  'Clubmembership'

Your membership will not become active until after we have received a payment

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