DRIVING INSTRUCTORS CLUB ESSEX
MEMBERSHIP APPLICATION FORM
Please print out this form, complete it (PLEASE PRINT EVERYTHING) and post it with your £20 membership fee to
Christopher Burton
D.I.C.E. Treasurer
12 Elm Avenue,
Heybridge
Maldon CM9 4NT
Make cheques payable to D.I.C.E, a receipt will be given to you at the next D.I.C.E meeting.
Also make sure that you download the D.I.C.E. Website Entry Details form and email it to our webmaster (address on form). Once you are a paid member your details will go up on the website.
| Date | PLEASE USE CAPITAL LETTERS THROUGHOUT
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| ADI Number | |
| Name | |
| Driving School | |
| Address | |
| Post Code | |
| Telephone Number | |
| Mobile Number | |
| Email Address | |
| This line is for office use only |