Audi Owners Club v3.0 Membership Application Form Title:............................ First Name:.................................................... Surname:....................................................... Address:..................................................................................... ............................................................................................. ............................................................................................. ............................................................................................. Post Code:..................... Home Phone No.:................................................ Mobile:........................................................ E Mail:........................................................ How many Audis do you own?..................................... Is this your main car? (Please delete) Yes/ No Model: (eg. 80, 90)............................................ Variant: (eg. Saloon, Avant)................................... Engine Size:................................................... Year:.......................................................... Registration Mark:............................................. Colour:........................................................ Mileage:....................................................... quattro? (please delete) Yes/ No Please list any modifications:............................................................... ............................................................................................. ............................................................................................. ............................................................................................. Can we feature this car? (Please delete) Yes/ No Please delete any of the following activities you are NOT interested in: Annual Club Day Annual Social Event Regional Meetings Car Shows Visits to places of interest Treasure Hunts or tours Visits to tuners Track Days Repair/ workshop tips Motorsport coverage Club Car Features New car reports Details on accessories Would you be interested in any of the following? (Please delete) Club Clothing Club Stickers/ Badges Posters Audi Books Audi Videos Audi "Software" Audi Merchandise Spare Parts Valuations Your details may be passed onto Club officials or Audi UK, but NOT onto other third parties. Please tick HERE if you do NOT want your details passed on. Please print clearly, preferably in block capitals. Send this form and either a cheque or postal order made to the "Audi Owners Club" (£29.50 UK membership) to: Audi Owners Club, Dept. Online, 94 Stonepit, Kettlebrook, Tamworth, Staffordshire, UK. B77 1DW Please allow upto 28 days for membership confirmation. E & O E. Copyright Audi Owners Club 1997-2008 Info: andy.bowskill@audiclub.co.uk Discussion list: www.groups.yahoo.com search for audiowners Office Use: Membership Number: Expiry Date: