ENROLMENT   FORM
1.	Name	:
2.	Address - Residence	:		Phone	:
				Email	:
3.	Address - Official	:		Phone	:
				Email	:
4.	Present vehicles'
	Registration number	:
	Engine number	:
	Chassis number	:
	Horse power	:
	Year of manufacture	:
5.	Previous beetles if any	:	[ Registration number ]
6.	How long you have been a beetle owner	:	[ #of years ]
	Date:		Signature:...............................................

Enrolment fee : Rs. 200/=
Life membership fee : Rs. 1200/=
Annual membership fee : Rs. 200/=

Please issue a Ceeque / Money order / Postal order in favour of "VW BEETLE OWNERS' CLUB"