X1/9 Owners Club - Application for Membership Name ................................. X1/9 Model ............................. (eg Standard, Lido, VS, Gran Finale) Address .............................. Size/Type of Engine .................... ...................................... (eg 1300, 1500, 1500 injection) ...................................... Colour(s) .............................. ...................................... Registration Number .................... ...................................... Registration Year ...................... Postcode ............................. Plaque number (1300s only) ............ Tel. Day ............................. How did you find out about the Club? Tel. Evening ......................... ........................................ (eg internet search/other site, Email ................................ magazine (specify), previous owner) Membership Type: Full / Web Only (Delete as appropriate) Modifications/Additional X1/9 Information ...................................... ................................................................................ ................................................................................ The current annual membership fee is £25 sterling for full membership or £15 for web only membership (this provides all the benefits of full membership but the magazine is available online rather than posted). Please note that we can only accept cheques, postal orders or bankers drafts with this application form. You can pay via PayPal or credit card via the club website. Forward this form together with a cheque, postal order or bank draft to the address below. Please telephone if you have an application enquiry. An answer machine is available. Please make your cheque, postal order or bank draft payable to the 'X1/9 Owners Club'. Membership Secretary. X1/9 Owners Club, 16 Belleisle Crescent, Bridge of Weir, Renfrewshire PA11 3JA UK Telephone: 07955743790 01506 612994 International: +44 7955743790 +44 1506 612994 membership@x1-9ownersclub.org.uk