WESSEX HISTORIC TRACTOR AND IMPLEMENT CLUB
New* / Renewal* Membership for 2012/2013
(* Delete as appropriate)
NAME ___________________________________________________________________
ADDRESS________________________________________________________________
________________________________________________________________________
TOWN __________________________________________________________________
COUNTY_______________________________ POST CODE______________________
TELEPHONE________________________ EMAIL:______________________________
Date of Birth (If under 16): ______________________________
Membership fee for 2012/2013 is:
£10 adult
£5 Junior
Please make cheques payable to:
Wessex Historic Tractor and Implement Club
My ownership/interest is:
|
Wheeled tractors |
|
|
Harvesting: |
|
|
Crawler tractors |
|
|
Grass |
|
|
Horticultural tractors |
|
|
Corn |
|
|
Ploughs |
|
|
Root |
|
|
Tillage equipment |
|
|
Baling |
|
|
|
|
|
Combines |
|
|
|
|
|
Threshing |
|
I agree to abide by the rules of the Wessex Historic Tractor and Implement Club
Signed_________________________________________
Please send to Jim MacFarlane
7 Butts Square
Soiuthampton
SO19 1DB