Clwyd Veteran And Vintage Machinery Society Ltd.
Membership Application Form January - December 2017
I hereby apply for membership / renewal of the C.V.V.M.S. and agree to abide by the rules of the Society
Full Name:
Address:
E Mail Address:
Post Code:       Telephone:  
Type Of Membership   (Please Tick Box)
Single £10.00      Junior £5.00 (under 16 on 1st Jan 2017)     OAP  £ 7.00   Family £13.00 (2 adults & up to 2 juniors under 16 on 1st Jan 2016 living at the same address)   (List all 4 members below)
     
  
DOB:
 DOB:
I enclose a cheque/cash to the value of     for membership of CVVMS Ltd. from Jan - Dec 2017.
Please sign and return the completed form to the Membership Secretary
Mr Gordon Davies
14 Rhosnesni Lane
Wrexham
LL12 7LY
Telephone: 01978 290877

If you require insurance cover please complete section below your signature.
Signature ................................................................Date: ............................................
It is a requirement of Membership that members assist at the Annual 2 Day Show (to be held on Sat 17th and Sun 18th June 2017 at Oswestry Showground.
Application For Public Liability Insurance Cover
Please Complete The Information And Read The Conditions That Apply
Date of Birth:
(For insurance purposes only)
What Type Of Machine Will You Be Exhibiting?
(See conditions below - stationary engines, walk behind machinery, models, table top collections, and bicycles are covered by Club Insurance - Please ask if unsure)
Please note that the following conditions apply:
1. The exhibit is not a self-propelled vehicle which is required to comply with statutory road traffic act insurance - this includes all ride on machinery other than bicycles.
2. The member is a fully paid up member of Clwyd Veteran and Vintage Machinery Society Ltd.
3. The  member displays a notice by the side of his exhibit stating that the exhibit is being shown on behalf of The Clwyd Veteran And Vintage Machinery Society Ltd. (Green Card)
NOTE:  If The Green Card is not displayed the insurance is rendered invalid.
Only ONE Certificate of Insurance is issued per membership (this includes Family membership).
In The case of Family membership - should more than one Certificate be required then that member must purchase a separate  Single  membership.
Please press the print button in your browser to print form on A4 paper
© 2017  C.V.&V.M.S. Ltd & Richard H Huelin