Name/s 
Address 

Postcode
Tel.No: 
Email 
Historic Vehicles Owned (if any) 


Amount enclosed
(£15 single membership - £20 for member & partner)
Please make cheque payable to BVAC Ltd.
If elected for membership of the Borders Vintage Automobile Club Ltd., I (We) agree to be bound
by the Club Constitution and to foster the declared interests of the Club.
Signature/s
Date 
