Road Roller Association Membership Application Form

Please print out and then complete this form in BLOCK CAPITALS and send with your remittance by snail mail to the Membership Secretary, Mrs Dorothy Rayner, 'Invicta', 9, Beagle Ridge Drive, Acomb, York, YO24 3JH.

Cheques should be made payable to the "Road Roller Association" and crossed. This membership includes spouse and children under 16 years of age. The annual subscription runs for one year from month of joining and is £16.00 per year.

Alternatively, should you wish to pay by Bankers Order, a suitable form may be obtained from the above address.


Application for Membership.
Name
                                                          
Address Line 1
                                                          
Address Line 2
                                                          
Address Line 3
                                                          
Town/City
                                                          
County/Country
                                                          
Post Code
                                                          
Tel. No.
                                                          
Signed
                                                          

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