| Application form page 2 |
| Name | |
| Address | |
| Country | |
| E-mail | |
| Please supply details of your car to us for our registry records |
| Car Type | Model |
| Year | | Registration No: |
| Date of first registration | | Chassis No: |
| Date Purchased | | Engine No: |
| No. Seats | | No Cylinders |
| No road wheels | | Cubic Capacity |
| Colour | |
| Price paid (This helps the club advise members on current Market rates) | |
| Condition when Purchased (Concours, Restored, Being restored etc) | |
| Current Status (In use, stored, being restored etc) | |
| Work done and Modifications | |
| History and other details of interest | |