Pre-1940 Triumph Motor Club Limited

PRE-1940 TRIUMPH MOTOR CLUB LIMITED

MEMBERSHIP APPLICATION FORM

(Please complete in block capitals. Membership may be in joint names if desired.)

PERSONAL DETAILS:

FULL NAME(S)………………..…...……..…………..………………………………………………......

ADDRESS……………………………………………………………………………………………………

……………………………………………………………………………..Post Code……………......

Country (overseas)……………………………………

Telephone number…………………………………E-mail address: ………………………………………..

Have you previously been a member of the former Pre-1940 Triumph Owners Club? Yes / No

Mem. No.(if known) …………………

DECLARATION:

I/we apply to become a member of the Pre-1940 Triumph Motor Club Limited* and if accepted I/we will in every way abide by the Articles of Association of the Club and hereby agree to provide the guarantee of £1 referred to therein. I/we understand that membership is on an annual basis which shall continue for as long as I/we pay the appropriate subscription in each and every subsequent year after joining.

Data Protection Act 1998:

I/we understand and agree that the Club will process and hold my/our details which will be used for Club related purposes only and not for any trade or commercial purpose. I/we agree to advise the Club of any changes in my details as and when they occur.

I/we permit my/our details to be passed on to other Club members by way of a Membership List or other communication as considered appropriate by the Club. Yes / No

Signed……………………………………………………………..(Both signatures required for joint names)

Date……………………………………….

*Pre-1940 Triumph Motor Club Limited is a private company limited by guarantee.

Registered in England/Wales No.7356114. Registered office: 2 Duncroft Close RH2 9DE.

CAR DETAILS:

(Note: If more than one car owned please provide additional details on a separate sheet. Also please provide two current photographs of your car(s) for Club records.)

UK Reg. No………………………………. Overseas Reg. No. ……………………………..

Date of First Registration……………………………………….

Model…………………………………… (e.g. Super 7 / Gloria / Vitesse / Dolomite.)

Body Type………………………………. (e.g. Saloon /Tourer / D.H.C.)Body Details……………………………...... (e.g. 2/4 door, 4/6 light, de luxe, vitesse.)

Body Number (if known)………………... (Located on lower part of ‘A’ Post on passenger side,

behind the trim panel.

Chassis Number………………………….. (Located on commission plate or on front nearside dumb iron)

CAR DETAILS (continued)

ENGINE:Original Present

Type………………… ……………….. (s.v. /Climax/ Triumph o.h.v.)

Engine No.………………… ……………......

H. P. or c.c.………………… ……………......

CURRENT USE:  Running  Under restoration  Laid up

CURRENT MILEOMETER READING: ...... Miles

HISTORY: (Please provide as much information as possible about your car(s) below or on a separate sheet including present condition and previous owner.Please complete all details as accurately as possible. Chassis and engine numbers should be checked on the car itself; they are frequently shown incorrectly on Registration Documents or V5 forms. There is also often confusion between 'S' and '5' and between '1' and '/'. )

PAYMENT: Annual subscriptions are:

UK Associate £20UK Full £30Overseas USA £40Overseas EU £40Overseas Non-EU £44

Note: Overseas members only, who prefer to receive all communications (including their magazines) by

e-mail rather than airmail post, may reduce the above amounts by £5.(Tick below as appropriate).

I/we wish to jointhe Club as an UKAssociate UK Full  Overseas USA Overseas EU

Overseas Non-EU, member.  As an Overseas member I/we wish to receive all communications by e-mail rather than airmail post.(Please tick below chosen payment method).

I/we enclose cheque made payable to the Pre-1940 Triumph Motor Club Ltd. or Sterling currency for £…………. [UK: Payment by chequeorSterling currency. Overseas: Payment by Sterling cheque from a UK bank account if you have one or Sterling currency or foreign currency (add 2% exchange charge) or cheque in your currency (not Sterling) from a foreign bank (add £5.50 UK bank handling charge)]

OR:

I/we will pay by bank transfer using Sort Code and Account No. below (UK members only)

OR:

I/we will pay by electronic transferusing BIC Code NWBKGB2L and IBAN No. GB45NWBK60172789584864 and add £1 handling charge.(Overseas members only. Our UK bank details are as below.Please pay in your currency, not £ sterling)

OR:

I/we will pay by credit/debit card via PayPal. Please send a PayPal invoice to my e-mail address shown on Page 1.

(On renewal on 1st January each year you will have the additional option to pay by Standing Order.)

Our Bank details:

NatWest Bank plc, 21 High Street, Reigate, Surrey, RH2 9AD, England. Account No.: 89584864.

Sort Code: 60-17-27.

Send this form together with cheque/currency payment (if applicable) to the Membership Secretary:- J. Quiney, PNTMCL, 2 Duncroft Close, Reigate, Surrey, RH2 9DE, UK.

Tel. No.: 01737 247218 E-mail:

For Club use only:Processed………………….Mem. No. ……...... Region…………………………..