This page can be printed off (A4) and used with your membership cheque when writing to our Secretary, David Yeomans at the address below
Membership Form 2012
Name............................................................................................................
Address.......................................................................................................
......................................................................................................................
[Intending oversease members, please contact the Secretary for
alternative methods of payment - e.g. PayPal, or Bank Transfer]
Please tick if you do not wish your address to be published in the club literature [ ]
Tel. No. Home...................................Tel No. Office..............................
Please tick if you do not wish your Tel.No.to be published: Home[ ] Office[ ]
E-mail (Optional).......................................................................
Mobile (Optional).......................................................................
Please tick if you do not wish these to be published
Chassis No...............Reg. No....................Ext Colour.............................
Int. Colour.............................
Work carried out in the last 12 months................................................ ....................................................................................................................... ......................................................................................................................
Current odometer reading............................................miles
Membership fee........................................................................... £40.00
Nominated Family Member (inc. in above fee): Name..........................
(can only be nominated at renewal).................................................................
Fleece Jacket, with G-K badge S/M/L/XL/XXL in a choice of colour:
Maroon, Navy, Grey, Royal, Black, Red or Bottle Green.
These are made to order - please allow 4 weeks....................... £20.00
Cuff links and Lapel Badge (set) with enamel tortoise badge...... £25.00
GKOC 90mm stick-on badge (iron-on)-new for 2010 £4-00
GKOC umbrella (to order black,greenred or mid-blue) £15-00
(GKOC badge is screen printed onto the alternate white panels)
Owners Manuals - reprinted from the original.............................. £45.00
Car Valuation - for insurance purposes...................................... £15.00
Ties *- woven. - Silver Grey with “Est’d 1964” badge................. £10.50
* = new design for the 40th Anniversary
Postage on regalia - please contact David Yeomans for amount required
as costs are rising again!
TOTAL............
The G-KOC year runs from January to December
Joining during the year includes the back-numbers for the year
David Yeomans, 26 Burford Park Road,
Kings Norton, BIRMINGHAM B38 8PB
(gkoc@yeomans26.freeserve.co.uk)