RAPPRESENTANTE ITALIANO

TT SUPPORTERS

Pier Giuseppe Ortalda

Via Colombaro, 31

10020 San Sebastiano da Po (TO)
Tel. 011/9191516 - 347/3695647

 

 

TT SUPPORTERS CLUB MEMBERSHIP FORM
Please Tick and Fill in the Relevant Sections below

NEW MEMBERS

FEE

RENEWALS

CLUB USE ONLY

Annual

£10

Annual

Card
Issued

Business

£10

Business

Badge
Issued

Membership
Number

Year

 

 

Entered on
Reg.Records

Entered on
Nat.Records

Name Mr/Mrs/Miss

 

Address

 

BLOCK
CAPITALS
PLEASE

 

 

 

Post Code
(or Country if not UK )

 

Telephone
Inc STD code

 

 

I enclose Cash/Cheque £.............................Date...........................

PLEASE MAKE CHEQUES PAYABLE TO:- TT Supporters Club

1984 Data Protection Act : I authorise the TTSC to keep my name & address on a computer
in accordance with this act.

 Signature........................................................................

Return to : Membership Registrars, TT Supporters Club, 13 Avondale Road,
Buckley, Flintshire, CH7 3BW, England.
Tel: 01244 548584 (between 11-30 & 21-00 GMT)

© TT SUPPORTERS CLUB www.ttsupportersclub.com

 

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