LANDROVER CAMPING & CARAVAN CLUB
Member of the British Leyland Camping and Caravan Association>


Exemption Certificates Issued by:
The Department of the Environment
The Scottish Office
The Welsh Office


MEMBERSHIP APPLICATION FORM


SURNAME:_____________________________________________MR/MRS/MS (please delete)

FIRST NAMES:__________________________________________________________________

SPOUSE/PARTNER NAME___________________________________________________________

ADDRESS:______________________________________________TEL No:_________________

______________________________________________________POSTCODE:_______________

TYPE OF UNIT: Caravan/Motorhome/Tent (delete as appropriate)

LAND ROVER EMPLOYEES

Location of Employment: ______________________________________________________

Section/Dept. location: ______________________________________________________

Internal Tel No: _____________________________________________________________

NON LAND ROVER EMPLOYEES:

Enter the name of a Land Rover Employee who will be your sponsor:

NAME OF SPONSOR:_____________________________________CLUB MEM No:_____________

IF YOU HAVE BEEN A MEMBER OF ANY BRITISH LEYLAND CAMPING & CARAVAN ASSOCIATION
CLUB, PLEASE GIVE DETAILS ON BACK OF FORM




SIGNATURE:_____________________________________________ DATE:________________


Please make cheques payable to: LAND ROVER CAMPING & CARAVAN CLUB

LRHME1:09 October 2006