SMOC Membership Form
Membership Fees:
Single   £19 Joint   £24 ** Family   £29 All fees include a one off £4 joining fee.
Enter your details in the form below, then click the print button.
Send your printed form to SMOC Membership, Southern Mini Owners Club, PO Box 579, Rochester, Kent ME1 9EB. (CHEQUES PAYABLE TO SMOC)

Your Name:
Your Address:
Postcode:
Home Tel:
Work Tel:
Email:
Occupation:
Date of birth:	/  /
Interests:
Where did you hear about the club?:
CAR DETAILS
Make/Model:
Registration No:
Year:
Colour:
Engine cc:
Modifications:
Existing Membership No:
Comments on our web site: