New Membership Form

YEAR OF BIRTH
Optional field
Please enter a 4 digit year. This is only used for statistical purposes to allow the club to understand the age profile of the membership.
ADDRESS LINE 1
We need your address to send you your Club magazine and other Club information. We will not give your address to any third parties without your consent.
EMAIL ADDRESS
We need your email address to verify your identity when you wish to access your membership record in the future. We will also use your email address to send you information about the Club. We will not give your email address to any third parties without your consent.

TELEPHONE
We need your telephone number to telephone you very occasionally for club business. We will not give your telephone number to any third parties without your consent.
OTHER TELEPHONE
Optional, but if you have another telephone number / mobile phone it could be useful to reach you. We will not give your telephone number to any third parties without your consent.

Family Members (maximum of 5 allowed)

Family members can be added for a fee of £6 per person.
No family members.


My Vehicles

No vehicles listed.

£20.00


Please make cheques payable to 'The Fiat 500 Club'


If paying by BACS please use your surname and then first name as the reference for your payment.


Bank Account Name: Fiat 500 Club
Account Number: 12509703
Sort Code: 09-01-51
IBAN: GB02ABBY09015112509703