DICE MEMBERSHIP APPLICATION FORM

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

 

 

ADI Number
Name
Driving School
Address
Post Code
Telephone Number
Mobile Number
Email Address
This line is for office use only

Comments are closed.