Membership Application Form

Membership Fees are £15.00 for the first year, then £10.00 for subsequent years.
Cheques should be made payable to: UKCC
Print this page, fill it in, and mail it (along with fee) to:
UKCC - Treasurer,
12 Swanston Park,
County Antrim,
Northern Ireland,
BT36 5ET.

Name (first name, surname)  
Address -1  
Address -2  
Home Tel No  
Work Tel No  
Mobile Tel No  
E-Mail Address  
Make of KitCar  
Engine CC  
Reg No  
Donor Vehicles  
Unusual Features  
Your Skills / Talents  
Where did you learn of the UKCC ?  
Can your details be included in the Club register ? YES / NO