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Coventry & Warwickshire
Motor Club

Membership

To apply for membership please fill out the following form.

When you hit the Continue button it will pass your details to a second page where you can select the type of membership you wish to apply for. You will also have the choice of paying immediately by credit card (via PayPal), or just emailing your application to our membership secretary who will contact you directly.

The information you enter is not stored permanently on this web server, in a computer database, or used for any purpose unrelated to managing the club membership. It is merely fed as temporary data to the second page and formated for passing into a Paypal order or email to our membership secretary and then deleted.


Your Name
Spouse's Name
(Married membership only)
Email
Address
Postcode
Phone

Additonal Comments

Add to club email lists(leave ticked to hear about forthcoming events)