Norman Cycles Club Application Form

Send with £6 cheque (PAY Willesborough Windmill Trust) to:

Norman Club Membership, Ron Warrener, Kimmeridge, Lees Rd, Brabourne Lees, Kent. TN25 6RP

Any related queries should be directed to Gary Pilcher, on (01303) 270881

 

Name

 

Address

 

 

 

Post Code

 

Telephone No.

 

E-Mail Address

 

 

Please State your Main Interest

Former Employee of Norman Cycles

Cycles

Mopeds

MotorCycles

 

Please State your Secondary Interest

Cycles

Mopeds

MotorCycles

 

Are you happy for your Telephone Number to be given to other Club Members ?

Yes No

Are you happy for your E-Mail address to be distributed to Club Members ?

Yes No

What Norman Product do you own if any ?

 

 

.

What Specialist Norman Information do you have, if you are a former employee ?

 

.

Signed

.

 

GIFT AID DECLARATION

Name

Address

I, the above, Declare that all payments made to the Willesborough Windmill Trust Ltd after 6th. April 2000 are to be treated as Gift Aid Donations

Signed

.

The above data will be held on a database held by the club and will not be disclosed to any commercial enterprises.