LINCOLNSHIRE

LOUTH MOTOR CLUB DIRECTORY

NOMINATIONS FORM

Please return the form by December 18th 2008

How to email this form          Back  

email to: llmc1900@hotmail.co.uk

Your name and membership number is voluntary information

NAME:                                         

I would like to place my name and telephone number in the directory to help/advise other members

 

Name:                                                                 Telephone number including code:

 

Suitable time to contact you:

 

Specialist Car/Motorcycle/Commercial Knowledge:

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UNDER HEADING PLEASE STATE

CLASSIC CAR: VINTAGE MOTORCYCLE: UTILITY/COMMERCIAL

HEADING                                          

Name of Company:

Address:

 

Telephone Number (including regional code):

Website/Email Address:

Service Provided:

 

Any Comments you wish to make about your recommendations:

 

--------------------------------------------------------------------------------------------------------------

UNDER HEADING PLEASE STATE

CLASSIC CAR: VINTAGE MOTORCYCLE: UTILITY/COMMERCIAL

HEADING                                          

Name of Company:

Address:

 

Telephone Number (including regional code):

Website/Email Address:

Service Provided:

 

Any Comments you wish to make about your recommendations:

 

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