The Bug Club
Membership Renewal / Joining Form
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Please complete all sections in CAPITALS
Date: _____/_____/
 
Your Full Name_______________________________________________________________________
 
Address____________________________________________________________________________
 
Postcode___________________________________________________________________________
 
Telephone/Mobile_____________________________________________________________________
 
Email_______________________________________________________________________________
 
Membership Number________________(Leave blank if joining)
 
Signature____________________________
 
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 thebugclub@mail.com Any Problems feel free to contact the Bug Club Membership secretary

Ron Biggin,
28 Gable Avenue,
Cockermouth,
Cumbria,
CA13 9BU
UK

Home: 01900 824371
Mobile: 07771 821971
email: thebugclub@mail.com
 
Club Website: www.bondbugs.co.uk Forum: bondbug.freeforums.net