Affiliated to: Irish Veteran, Vintage and Classic Club

Membership Application and Renewal Form

Name:_______________________________________________________________

Address:_____________________________________________________________

_____________________________________________________________________

Phone:__________________________   Mobile No.__________________________

Classic Vehicles Owned:________________________________________________

_____________________________________________________________________

Member of Other Car Club:____________________________________________

Membership Year:____________________________________________________

Fee: €25.00 for single membership or €30.00 for couple membership

Payment method: Cash / Cheque
Please make cheques payable to C.V.V.C.C.

Signature:______________________________________

Please return completed form to:

Ross Donegan
Killacolla School House
Ballyagran
Kilmallock
Co. Limerick

Note: Text messages will be sent to members to remind them of upcoming events.  If you wish to avail of this service please include your mobile number when completing this form.