Stratos Replica Club

Membership Application Form

Please print this page, and complete the following details:-

Name:            ______________________________________

Address:         ______________________________________

                   ______________________________________

                 ______________________________________

                 ______________________________________

Telephone (Day): ___________________________

Telephone (Eve): ___________________________

If you own a Stratos, please provide us with some details of your car:-

Type           Transformer   Hawk   Allora   Litton   CAE

Body style     Stradale     Group 4     Square Arch

Colour         _______________________________

Engine         _______________________________

Reg No         _______________________________

Chassis No     _______________________________

Date Purchased _______________________________

Date Completed _______________________________

Purchased      From manufacturer     Part Built    Fully Completed

Official Use only, please

Application Received:  __________________________

Membership Number:     __________________________