Subscriptionform

Yes, I want to become a member of the Vereniging Volvo 480-Register © (Dutch Volvo 480 Enthousiasts Club). Please find below details necessary for subscription.

	Personal data
Last Name:
First name
Initial(s):
Date of birth:	- -
Gender:	male female
Street & Number:
ZIP code & City (country):
Phone number:
E-mail address:
	Car data:
Type of Volvo 480:
Chassisnr.:
Colour:
Colourcode:	Colour specification
Fuel:
Number plate:
Date of first entry	- -
Date of purchase	- -
Subscription starts:	1st of January 1st of July 1st of December

Signature:

City:
Date:	- -
Remarks:
This form can now be:
Sent electronically: (This speeds up your subscription)
Printed as a final subsciption: (Choose the option that only prints this frame)

Explanation: It is known to me that the above data will only be used for internal use within the Volvo 480-Register. Check your data carefully before printing (preferably double sided) and signing the form. Please do only send printed forms to: Volvo 480-Register Secretary Boedelhof 7 6715 DH Ede (Gld)The Netherlands Please, do only send printed data without written text because of readability It is only possible by mail because of your signature I have paid the one time entry fee of Euro 35,00 and the annual subscription fee of Euro 50,00 by means of bank order to bank account number 5194434 Postbank. stating "subscription 2008" ) I will receive my membership card as soon as possible after the fees have been received by the club. General information about the club: John Naaborg tel. +31 622 22 25 11 ) The subscription year is from 1 January to 31 December. If you subscribe after the 1st of July, the first year's subscription fee is Euro 25,00. If you subscribe after the 1st of December, the subscription fee is due for the next year.