Membership Application Form

If you would like to join our Club, please print and complete this form and send it with a cheque, made payable to “The Borgward Drivers Club”, to the address below.
The annual Subscription (Jan-Dec) is £25. However, if you join in May, June, July or August, the subscription is just £18 for the rest of the year. If you join after August, the subscription will be £33, which will cover the rest of the current year and the whole of the following year.
 
Norman Williams, Secretary, Borgward Drivers’ Club. 158 Willow Avenue, BIRMINGHAM. B17 8HG. United Kingdom.
Tel: 0121 429 7169   
Email :     borgwardclub@btinternet.com
Web Site: www.borgward.uk

Forename(s)
	
Title	

Surname
	
Date	

Address

                                   

	

County	
Post 
code

E-mail 
Address

Contact Phone
(Times e.g. 6pm - 8pm M-F)

Do you own a Borgward product?  Yes / No

If ‘Yes’, would you please enter on page 2 details for our club register. Thank you.

Tick this box if you DO NOT wish your name and address details to be passed on to other members of the Borgward Drivers' Club.

App6-20151104

VEHICLE 1

Model………………………………………………………………………………………… ……………...……………….….

Body style……………………………………………..………………………............................RHD/LHD …………………..

Registration no…………………………………………..… Date of first registration…………..………..………………..……

Date of manufacture………………………………….…….Mileage……………………………………………………………

Chassis no…………………………………………………..Engine no……………………………….………………………..

Body colour…………………………………………….…..Interior colour…………………………………………………….

Circle the following as appropriate:

Condition:                   Excellent                Average                  Poor                  Already scrapped

Status:                         MoT’d                    Runner                     Non-runner                    

Repairs needed:         Engine                    Gearbox                    Brakes                    Body

Any comments………………………………………………………………………………………………………………...…

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VEHICLE 2

Model………………………………………………………………………………………… ……………...……………….….

Body style……………………………………………..………………………............................RHD/LHD …………………..

Registration no…………………………………………..… Date of first registration…………..………..………………..……

Date of manufacture………………………………….…….Mileage……………………………………………………………

Chassis no…………………………………………………..Engine no……………………………….………………………..

Body colour……………………………………………......Interior colour…………………………………………………….

Circle the following as appropriate:

Condition:                   Excellent                Average                  Poor                  Already scrapped

Status:                         MoT’d                    Runner                     Non-runner                    

Repairs needed:         Engine                    Gearbox                    Brakes                    Body

Any comments………………………………………………………………………………………………………………...…

………………………………………………………………………………………………………………………………..…..

……………………………………………………………………………………………………………………………...…….

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