Healey Drivers Club Service 3

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How To Apply

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Please provide the following contact information:

Family Name Childrens Names

First Name

Spouses Name

Company Healey Details

Street Address

Model (eg Austin Healey 100/6)

Model Designation (e.g. BN4)

City Year

County/

State
Engine No

Postal Code/Zip Body No

Country Registration No

Home Phone Colour (Exterior)

Mobile Colour (Interior)

E-mail Current Condition and Status

Acquired From

Version Date 06 Sep 2010 Mod's

Declaration

I hereby apply for membership of the Healey Drivers Club of Great Britain.

I agree to abide by the Club Constitution;

Either

I enclose a cheque for my Subscription;

or I have completed a Standing Order Mandate and will take it to my bank.

Download the Club Standing Order Form to make paying your subscription even easier.

Click Here - Standing Order Form - Click Here

PRINT FORM USING YOUR BROWSER AND SEND TO:

Dave Haslam,

31 Fairhaven Avenue,

West Mersea,

Nr Colchester,

Essex,

CO5 8EZ

WITH YOUR MEMBERSHIP FEE.

Cheques should be Payable to "Healey Drivers Club"

Copyright © 2008 Healey Drivers Club

Disclaimer: The views and information expressed on this website are those of the individual contributors and not necessarily the opinions on the Healey Drivers Club. Every effort is made to ensure that information is correct, but the Healey Drivers Club cannot be held liable for death, injury, loss or damage arising how so ever caused, and that the uploading of such material does not imply recommendation by the Healey Drivers Club.