CLUB MEMBERSHIP FORM 2

Membership Form

Please fill in both forms below, print and send (with your payment) to:

The David Brown Tractor Club Ltd, P.O.Box 990, Holmfirth, Huddersfield, West Yorkshire, England, HD9 1YH.

Name (inc Title):
Address:


City or Town:
State,Provence or County:
Post Code:
Country:
Telephone:
Mobile
Fax:

Date of Birth:
Occupation:
Past DBT Employee? YES/NO:

Email:

Web address:

	Membership Fees The David Brown Tractor Club operates on an annual renewal date, which is the 1^st May	We may wish to send your details to club officials in your area, to help try and organise events. If you do not want your details passed on, then tick the box
Please click the appropriate box for your subscription payment.	UK Member = £20 per year UK Family Members = £25 per year
The David Brown Tractor Club Ltd operates on an annual renewal date, which is the 1st of May. New members joining in this period have 3 options, Please tick	May to July = £17 August to October = £15 November to April = £10 If you do not want your details passed on then tick the box	How did you hear about the club? Magazine articles Adverts Internet Friend Other
Please tick method of subscription payment	Cheque (payable to David Brown Tractor Club Ltd) Credit Card Switch Cash
Perhaps you may be interested in becoming a representative for your region/country, if so please tick box