Membership application

Use this form to apply for membership of the VX4/90 Drivers' Club.
Payment can be made using your credit/debit card or Paypal account.

If you'd prefer to pay by cheque then please download the membership application form and send it with your payment to:
Alf Milliken, VX4/90 Drivers Club, 9 Northway, Winnington, Northwich CW8 4DF

Membership costs £25 per year and runs from 1st March to end February.
Reductions apply according to joining date: Mar-May £25, Jun-Aug £20, Sep-Nov £15, Dec-Feb £10

The cost for joining between September and November is £15.

Contact details

Name

Address (inc. postcode)

Home phone

Mobile phone

Email

Vehicle details

Registration

Model

Engine size

Colour / paint code

Interior colour

VIN / Chassis no.

Engine no.

Registration date

Purchase date

Mileage

Condition

Special features / history

By clicking to the submit button you agree to our use of your information in accordance with our Privacy Policy.