Vintage and Classic Car Club of India

Membership Application Form

Name in Full Mr./ Mrs./ Ms.
(In block letters)

Date of Birth

Occupation

Office
Address

Tel
. No:

Residentia
l Address

Tel
. No:


Make of Car


H.Power and Type of Body

History of the Car

Registration No

Any Other Information

DATE
SIGNATURE


Member - FEDERATION INTERNATIONALE VEHICULES ANCIENS