Holden UK Register

MEMBERSHIP FORM

Name

Address

 

 

 

 

 

Tel .......................................               e-mail ...................................................................

CAR DETAILS
(If Holden owner)

Model.                                     Year

Engine Size.                                     Body Type

Registration Number

Body Number                Chassis Number                 Engine Number

……………….                  .………………….                   …………………..

Special Features - Condition - Other Details:-

 

 

 

 

 

 

I enclose £ ……………. or equivalent in $Aus

Please return this form to - Membership Secretary:

Guy Hardy 5A Gorsey Bank Wirksworth
Derbyshire DE4 4AD

Tel:01629 820814