Secretary

Mr Chris Parnham
14 Quarndon Heights
Allestree
Derby
DE22 2XN
Email:secretary@deloreans.co.uk
Phone/Fax: 01332 230823

Editor

Andy Withers
165 Coronation Road
Great Barr
Birmingham
B43 7AU
Email:editor@deloreans.co.uk
Phone: 0121 358 0544
Application for Membership

Please use CAPITAL letters

Full Name: ..............................................................................................................................
Address: .................................................................................................................................
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Post Code: ..............................................................................................................................
Telephone Number (Daytime): ..................................... (Evening): .....................................
Mobile Number: .....................................................................................................................
Fax Number: ...........................................................................................................................
Email: ......................................................................................................................................
 

Annual subscription is £20.00 (UK) & £25.00 (Overseas)
Send cheques to the secretary made payable to the 'DeLorean Owners Club'

Do you own a DeLorean? *Yes / No (If yes, please continue the form below)

Details for Club registrar only:

Year and month of manufacture: ........................................................................................
Registration Number: ...........................................................................................................
VIN Number: SCEDT26T........................................................................................................

*RHD or LHD | *Grey or Black Interior | *Euro Spec or USA re-import
*Manual or Auto transmission | *Delete as appropriate

Any other information of know history, regarding modifictions, previous owners etc:
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
______________________________________________________________________________

Treasurer & Parts, David Howarth, 17 Merlewood Drive, Astley, Tyldesley, Manchester, M26 7PG. Tel / Fax: 01942 882331
Technical Advisor, Mark Bourne, 7 Tudor Court, Borham Wood, Herts, WD6 4NZ. Tel: 0208 2077983 Email: technical@deloreans.co.uk
Web Editor, John Tien, Roberts House, Downside School, Stratton-on-the-Fosse, Bath, BA3 4RJ Email: john@deloreans.co.uk

Club Website: http://www.deloreans.co.uk