TT Supporters Italy

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