Club use____________________________________mn_________________________________________xd________________________________

THE MINI MOKE CLUB

President: Paul Beard

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APPLICATION FOR MEMBERSHIP

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Annual subscription is £18.50GBP and runs from the first of the month following application.

Please note we can only accept cheques in Pounds Sterling. Please make all cheques payable to the MINI MOKE CLUB.

If you wish to join this family friendly club, please complete the following and send to:-

Mini Moke Club

30 Myrtle Road, Maybush, Southampton, Hampshire, SO16 5GQ, UK

Please enclose your cheque for £18.50GBP, for a full years membership, payable to Mini Moke Club.

NAME:___________________________________________________________________________

ADDRESS:________________________________________________________________________

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Postcode____________________email:____________________________phone__________________

Moke – Reg Nr_____________________Colour_______________________Year_______________

Chassis/Vin Nr____________________________Commission Nr ____________________________

Engine NR_______________________________ I wish to apply for Club Membership;

I agree to abide by the Club Rules. Signed____________________________________

What activities or facilities are you interested in? (please tick).

Car Rallies_________Green Lane Runs___________Technical Help___________Spares_________

Pub meets________Camping weekends___________Road Runs____________Insurance_________

Other (please state)_________________________________________________________________

CLUB BOOKS FOR SALE: All Prices Are in Pounds Sterling GBP

MINI WORKSHOP MANUAL (includes Moke supplement)

Number of copies at £32.95 each:___________ Total Cost: ______________________

P&P Charges UK – £5; EUROPE - £8; REST OF THE WORLD - £17

MONTY THE MOKE – The children’s book written and illustrated by club members.

Number of copies at £1.00 each:____________ Total Cost: ______________________

P&P Charges: UK – 51p each; OVERSEAS – 71p each.

A GUIDE TO MINI MOKES – Written and published by the Moke Club. Don’t buy a kit car by mistake! Number of copies at £5.00 each: _____________ Total Cost: ________________

P&P Charges: UK – Free; OVERSEAS – 70p each.

MINI MOKE ULTIMATE PORTFOLIO – compiled by the Moke Club and published by Brooklands Books. A collection of articles previously published about the Moke.

Number of copies at £19.95 each:___________ Total Cost: _______________

P & P Charges: UK – FREE; EUROPE - £3.85; REST OF THE WORLD - £6.60