Dedicated to the Preservation of Thornycroft Vehicles
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                                                  Application for membership

Name___________________________________________________________________________

Address________________________________________________________________________

_______________________________________________________________________________

___________________________________________________________Post Code___________

Telephone No_________________________

Vehicle Reg No______________

Model_____________________________________________ Year of Manufacture____________

Chassis /Engine No(If known)  ____________________________________

Condition______________________________________________________________________

History: _________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Please return completed form to: The Membership Secretary: D.Jones The Old Gasworks Garage

Wood Lane Cradley Heath B54 7AA 07941 559493 with your remittance of 20 U.K. 22 outside U.K.

 

2015 The Thornycroft Register