MEMBERSHIP RENEWAL FORM
here if you need to apply for a new membership
Forum User Name:
Any new additional information
needed for database?
eg - changed address? new
email address? new engine fitted? registration plate change?
Membership level required.
1 year Rallye Register
membership renewal @ £16
2 year Rallye Register
membership renewal @ £28
3 year Rallye Register
membership renewal @ £36
Payment Options. Please tick
how you would like to pay for your membership
Cash or Cheque
Credit or Debit card via PAYPAL
Payment Information: To pay by
cash or cheque, please print out this order form and send with your
payment to 106 Rallye Register, 15 Hameldon Road, Rossendale, LANCS.
BB4 8RL. If sending cash please send by registered post. If paying by
cheque, make it payable to "106 Rallye Register"
To pay by
credit card or debit card via PAYPAL our online payment system, please
tick the PAYPAL option above and click submit where you will then be
directed to our online payment page to complete your application.
regarding this form or payment please email