FIAT MOTOR CLUB (GB)

APPLICATION FORM

 

By applying to become a member of the FIAT Motor Club (GB) you automatically agree to abide by the rules of the club. The completed application form should be printed (click on 'Print Form' Button at the bottom of the form) and posted with your payment (£25 for UK or £30 for overseas membership) or completed Standing Order Mandate form to: 

The Fiat Motor Club (GB), 45 Connaught Gardens, London N10 3LG, UK

 

Full Name  
Address  
Postcode    Tel.  (Home)   Tel. (Work)
Email 

The Club publishes a list of members' email addresses to allow its members to communicate.

If you do not want your email address included in the directory, please tick here

  

Model of Car(s)
Registration Number(s)  
Year of Manufacture 
Are you a member of the RAC?   Yes         No

 

Partner / Nominated member 

Full Name  
Address  
Postcode    Tel.  (Home)   Tel. (Work)
Email 

The Club publishes a list of members' email addresses to allow its members to communicate.

If you do not want your email address included in the directory, please tick here

 

 

PAYMENT OF £25 FOR UK OR £30 FOR OVERSEAS MEMBERSHIP SHOULD BE BY CHEQUE OR  POSTAL ORDER CROSSED AND MADE PAYABLE TO 

 'FIAT MOTOR CLUB (GB)'. 

ALTERNATIVELY, COMPLETE AND RETURN THE STANDING ORDER MANDATE FORM.