Application form to join the Opel Manta Owners Club UK
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Please enter your name(s) here:

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Please enter your address here:





Tel Number:
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Please enter type of Manta you own:
Series:
Model:
Year:
Colour:
Hatch/ Coupe:
Reg:

(attach separate Sheet if necessary)

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Membership Fees when joining are:
£25 for the first year, then £20 after that.
If you join between April 1st & October 31st full cost applies,
 if joining between November 1st and March 31st the cost is £15.
For joint membership please add £5 (allows 2 votes at meetings).

Note - Membership runs from April to April.

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I/we the above named wish to become a member of the OMOC and
agree to abide by the rules layed down in the clubs
constitution and have enclosed the required fee

Signed(1)                            (2)

Date:

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Please return the Completed Form and cheque/etc, (made payable to:OMOC) to:

OMOC Membership Secretary,
PO Box 84
Swansea
SA5 7YG 


If possible please include a photo of your Manta/s as we are
trying to set up a photographic database of all Mantas.


Many Thanks for your Interest.

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For Official Use:

Membership number - 

Referred by OMOC Regalia Website.
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