Membership - Cotswold Model Car Club

First Name

Last Name

Email Address

Mobile Number

Your mobile number will be used to add you to the club’s WhatsApp group.

Vehicle Registration

Date of Birth

Existing BRCA Number

Emergency Contact

Emergency Contact Number

Street Address

Address Line 2

City

State

Postal / Zip Code

Country

Membership Type

Adult Membership (17+) (+£100)

Junior Membership (under 17) (+£50)

Associate Membership (+£10)

I accept the terms and constitution of the club.

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