Capri MK1 Register Application Form

Name
Mr. / Mrs. / Ms
 
 
Full Address
E-Mail Address
Telephone
Fax or Mobile
Car Details - Model
Car Details - Reg Number
Car Details - Colour
Car Details - Build No/VIN
Has the Mk1 been restored? Yes No
Your Mk1 condition is:- Poor    Good   Very Good   Concourse
Please tell us about the history of your Mk1

(if the car has been modified, please give full details)
Would the car be available for media / publicity if required? Yes   No
Membership is £12 per year with an initial £2 joining fee.  Payment can be made by Paypal at emailus@fordcapriclub.com
please add 65p .   Your application will be processed on receipt of the membership fee
You will be contacted by email or  we will  telephone you further details
Cheque/postal orders must be made payable to Capri MK1 REGISTER