Membership Form

First Name .............................
Surname ..............................

Address
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Phone Number .........................

E mail Address .........................

Please tell us about your Scamp
(don't be put off joining if you don't own a Scamp)

Type Mk1............Mk2............MK3............Suzuki...........

Reg No ............................Chassis No.........................

4 wheeler ........................6 wheeler...........................

Other Information......................
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