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Membership Form

Name
Address
Postcode
Telephone
Email
Vehicle
Registration
Make
Model
Year

Subscription Charge: £15 per annum - Please make cheques payable to

Pembrokeshire Vintage Car Club

Post to: Roz Evan-Thomas

Derby Farm
Haverfordwest
Pembrokeshire
SA62 4ES

If you are unable to print this form due to your computer operating system please contact us by email (see contact page) with your name and address and we will post a membership form to you.

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