The Bug Club
Membership Renewal / Joining Form
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Please complete all sections in CAPITALS
Date: _____/_____/
Your Full Name_______________________________________________________________________
Membership Number________________(Leave blank if joining)
Bug Details
To help the Club Historian update the records we would be grateful if you would provide as much information as possible about your Bug below
If re-joining only fill in any changes made in the last year or info we are unaware of and mark others as Same
Registration Plate_______________________
Chassis Number_______________________
Model   700   700E   700ES   750ES   Unknown
Current Engine CC___________
Original Engine Number_______________________
Current Engine Number_______________________
Date of First Registration_______________________
Current Colour_______________________
Type of Lubrication Plate   Bond or Reliant
Placement of Plate   Footwell or Canopy
Current state of vehicle   eg Original or Standard, Concours, Under Restoration, Modified, Customised, On the road or capable of being on the road, last M.O.T. date etc
If you own more than one Bug would you be kind enough to provide the above information for them all. If you have any photographs (Originals or Copies) of any Bugs the archive would be pleased to accept them.
Membership Fees
UK Residents 15.00 per year (17.50 for new members or those re-joining after 31st March.)
Overseas Members 20.00 per year (22.50 for new Members or those Re joining after 31st March)

Please Complete this form - Print and send it together with a cheque or Postal order made Payable to the Bug Club.

Alternatively copy and paste into an E mail program.

Paypal is now excepted (Please add 1.00 to cover the charges)
Please email your subs to Any Problems feel free to contact the Bug Club Membership secretary

Ron Biggin,
28 Gable Avenue,
CA13 9BU

Home: 01900 824371
Mobile: 07771 821971
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