NERO - Membership Application Form

NORTH EAST ROVER OWNERS CLUB LTD
A MEMBER OF THE ALRC AND MSUK
NERO - Membership Application Form

(Period of Membership)

1st October 2024 - 30th September 2025
What are you wanting to do*

New Membership
Membership Period?*
Member Name*

First NameLast Name
Member Date of Birth*

DayMonthYear
Date
Main Contact Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Members Phone Number*

Phone Number
MSUK Licence Number
Do you want to be included in email notifications / newsletter? (Member)*

YesNo
Please Note !

By ticking this box you are happy for NERO to use your email to contact you with matters relating to the club and its activities
Signature*

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Please Note

By signing this application you and your associate member (if applicable) agree to the details contained within this document are correct to the best of your knowledge and failure to inform North east rover owners club could make you liable to prosecution - By signing this application and becoming a member of NERO (North East Rover Owners Club Ltd) you also agree to abide by the rules and regulations set out by NERO, you also agree to your details being held on file and used by NERO for the purpose of your membership application and ongoing & relevant communications from NERO to you.
Please verify that you are human*
Please enrol me as a member as selected for the Membership year ending

September 2025

Once you click SUBMIT, A member of our club will assess your application and once your application is approved we will be in contact to arrange payment in full

Thank you for supporting our club

NERO
Membership Options*
prevnext( X )
Full Membership 2024/25 Membership yearCan drive, navigate, vote at the AGM. - Receives a newsletter. - Can be an officer or committee member.
£20.00 Quantity

Total

£0.00
Once you have submitted your membership application please make payment by either....
1. Send cheque to - Membership Secretary, 15 Scruton Close, Hartburn, Stockton On Tees, TS185LQ to the value of £20.00 Made payable to "North East Rover Owners Club Ltd"
2. Make payment direct to
  - Sort Code - 60-83-71
  - Account Number - 07419005
  - Account Name - Ian Weatherhead
Should be Empty:

NORTH EAST ROVER OWNERS CLUB LTD

A MEMBER OF THE ALRC AND MSUK

Please Note !

Please Note