Austin A30 & A35 Owners' Club

Club Insurance Partners

Austin A30 & A35 Owners' Club: Membership Application Form

If applying for on-line, please complete the membership information below. Fields with a yellow tint are mandatory. When complete the system will pass you to PayPal to complete the payment and send your application to the Membership Secretary to be actioned.

If applying by post, please use the printable forms found on the "Join the Club" page and post with a cheque or postal order to the Membership Secretary. The address details are on the printable form.

We recently had an issue with applications using an iPad. This problem should have been resolved but if you do find that it fails to pass the "I'm not a robot" challenge at the end of the form please contact the WebEditor and we will do our best to help you.

Online/PayPal Applications

This is the first stage of the three-step process:

1. Complete an on-line Membership Application Form (see below)
2. Select the amount you need to pay (it defaults to the correct month)
3. Submit your payment via PayPal (opens a new browser tab or window)

Age Confirmation

Are you 13 or over? *

Unfortunately we need to impose a lower age limit of 13 on new members. Below this age please ask you parent or guardian to contact the Membership Secretary to discuss ways of joining.

Contact Details

Title *:

First Name *: Surname *:

Address 1*: Address 2:

City/Town *: County/State *:

Postal/Zip Code *: Country *:

Email *: Telephone *:

Previous Member ? (tick if yes) Previous Member No:

Privacy Settings

As from May 2018, new Data Protection regulations mean we need to comply with your wishes regarding contacting you. As a result we need to ask you to indicate below if you would be happy for us to contact you in the following three ways.

PLEASE NOTE: Deselecting the 'Post' option still allows the Club to supply your Club Magazines four times per year. We do however promise to keep contact with you to a minimum.

Post: Email: Phone:

Website Username/Login

Preferred Website Username:

If you specify a Website Username, we will automatically create a login for you as long as it is available. If not we will create a Website Login using some default values. Please note you will still need to request a Forum login at the moment.

Vehicle Details

Enter the details of your vehicle. If you own more than one please enter the details of the vehicle you regard as your main A30 or A35. In the near future we will be allowing you to register others with the Club.

Unsure which model you have? Check out the 'Model List' page under the Home menu.

There is a tick-box below to allow the club to hold this information and to use it for Club business and, where requested, for providing selected parties with statistical data for research. If you do not agree to this but would still like to provide your vehicle's information, plus untick the box.

Approval to hold/use vehicle information (tick if yes)

Fields with a yellow tint are required if you enter any vehicle information.

Vehicle Type:

Reg. No: Registration Year: Registration Month:

Chassis No: Engine No: Engine Size:

Main Body Colour: * Interior Colour:

Vehicle Flag: *

V5C held? (tick if yes)

Purchase Date:

Vehicle Status: (Tick ONE!)

Standard? Modernised? Modified?

Condition: *

Any history or information:

Modifications:

Future Plans?:

How many other Austin A30/A35 vehicles do you own?

Publicity: Would you be willing to allow use of vehicle for publicity/shows/etc?

Gift Information Is this a gift? (tick if yes)

N.B. If this membership is to be a gift, please advise on the date you wish it to be received, together with any message you would like to be enclosed and the address to be sent to, if different from the above, and we will try to arrange delivery on the appropriate date. DO NOT INCLUDE YOUR OWN ADDRESS HERE.

Please click to prove you are human

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