Title: -_______
Full Name: -______________________
Address: -________________________
County: -_________________________
Post Code: -_______________

Home Tel inc. STD: -_________________________
Mobile Number: -________________________

Email Address: -___________________________________________
Preferred Username: -______________________@CruisinUK.com

What make and model is your car? -____________________________________
Please list any modifications to your car:________________________________ __________________________________________________________________

How did you hear about CruisinUK? –___________________________________
What colour would you like your stickers? -______________________________

Please send the application to the following address where the mailing address for your cheque will be sent to you:

Members@CruisinUK.com