Carplus Register of Interest Form

I want to join a car club!
(or at least get some information)

Please send me information about any car clubs in my area

Please send me information about car sharing

If there is no car club in my area at present, please let me know when one is set up

I would be willing to assist in setting up a club

I would like to receive the Carplus e- newsletter
(This is emailed so please ensure you enter an email address below)

Your details (*'d items must be entered)

Title: * Name:

Surname

* Email:

Home address

Address:

* Town/City:

County:

* Postcode:

Work address - there may be a car club near your place of work

Organisation:

Address:

Town/City:

County:

Postcode:

Data Protection

Yes, you may keep my details on the Carplus database

Yes, you may pass my details onto organisations running or planning a scheme nearby.

We will not share your information with anyone else

How did you hear about car clubs / Carplus?

Other: please specify

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