Membership Application Form

Existing Members
Click here to request a Standing Order form

By becoming a Marlin Owner's Club member, you will enjoy:

Discounted car insurance
Annual subscription to the bi-monthly PITSTOP magazine
Free windscreen sticker and membership card!

All items marked * are required.

Your Details

Your Name *	Please enter your full first name, not your initial(s)
Spouse/Partner's Name	* if applicable
House number/name *
Street Name *
Town *
County/State
Country *	Country:
Post/Zip Code *
Telephone (home)
Telephone (work)
Telephone (mobile)
Email (*)	(*) Required if paying by Standing Order
Do you wish to be contactable by other members?	Yes

Your Car

Car Model *
Registration
Colour
Doner Car
Wheel Base
Engine Type
Engine Capacity
Carburettor
Chassis Number
Additional Information

Your Subscription

Type of subscription *	Membership is £15.00. There is a £2.50 initial joining fee for new members.
2nd membership card?	Yes (extra 50p)
Payment Method *

Please make cheques payable to Marlin Owner's Club
and send to: Tim Hawkesworth, Membership Secretary
Astwood Cottage, Spirehouse Lane, Burcot, Bromsgrove, B60 1PL

New membership after 1st October covers the remainder of the current year and the whole of the following year. If you wish to take advantage of the special insurance discount offered to MOC members, you will be required to quote your membership number when obtaining a quotation.