Application Form to Join InterFord Community
Personal Details
*
Required Fields
Username:
*
First Name:
*
Surname:
*
Address:
*
Post Code:
*
Telephone (Landline):
*
Mobile Phone No:
*
Email:
*
DOB:
*
(01/01/70)
Car Details + Additional Information
Car Owned:
*
Modifications:
Colour:
Year:
*
Insurance Due:
*
(01/01/05)
What events would you like to take part in if InterFord was to arrange them:
i.e. Rolling Roads, social days out (go-karting, bowling, paint balling etc.)
Other events and if so what?
If you had to pay to be an InterFord member, how much would you consider reasonable:
Please say how you think we could improve InterFord or give any additional information here:
I agree to allow InterFord Insurance to contact me before my insurance due date with a club rate insurance quotation:
*
The information supplied above will not be sold to third parties and will only be used by InterFord and partner companies and shall be kept confidential.
*
Send Application
