GCCG - Membership Registration Application Form

GCCG Membership Application - Direct Debit

We would prefer you to apply online for membership of the GCCG by completing the application form below.

Your details will be automatically entered into our pending membership database, and your application will be given priority attention over postal applications. There is no joining fee for online applications.

Should you still wish to apply by post, please complete the offline application form which can be downloaded by clicking here. Postal applications are subject to a £2.50 joining fee.

You have chosen to pay your subscription by:

Option 1: £17.50 pa - Annual payment by Direct Debit

Click here to download a Direct Debit Mandate which you should print, fill in your bank details and post to us. Direct Debits will be shown on your bank statement as either GCCG or 'C A Daw & Son' - the latter is the business which kindly operates our Direct Debit system for us.

Then fill in the rest of your details on the form below and click 'submit' at the bottom of the page:

GCCG Online Membership Application Form Please complete the boxes below, then click the 'submit' button at the bottom of the page:
Choose a User Name (required)	lower case letters and numbers only, no punctuation or special characters
Your Personal Details
Your Name (First Name/Surname) (required)
Your Partner (First Name/Surname) (optional)
Address (Line 1) (required. No commas in address please)
Address (Line 2)
Address (Line 3)
Town/City
County/State
Postcode (required)
Country if not UK (For UK leave blank)
Which Region of the Club would you like to belong to? (required) Note: London covers anywhere inside the M25.	For help with choosing your 'home' region, click here for a map. Selecting your home region does not limit you to events just in that region. As a member of GCCG you can attend any event you wish in any region of the country.
Optional Personal Details these will appear in your publicly viewed profile if you wish
Date of Birth (preferred)
Marital Status (optional)
Gender (optional)
Occupation (optional) - can include hyperlinks
Your Contact Details
Phone (Home)
Phone (Work)
Mobile
Fax (Home)
Fax (Other)
Email (required)
Preferred Contact Method Email is preferred, and if it is selected you will receive our monthly email newsletter.
Membership Subscriptions
How would to like to pay your subscription? (required) (A Direct Debit Mandate is available for download once you have submitted your registration)
Your Car Details
Car 1 (Make/Model) / (Year)	/
Car 2 (Make/Model) / (Year)	/
Car 3 (Make/Model) / (Year)	/
Car 4 (Make/Model) / (Year)	/
Car 5 (Make/Model) / (Year)	/
Other Stuff: your account will include a profile which may be viewed by other members - information entered in the following optional fields will be displayed in your profile and may be updated by you at any time via your account
Hobbies - can include hyperlinks
Latest News
Favorite Quote
Homepage URL
Receive Newsletters?

Verification Question (Anti Spam) (required)
In order to avoid false signups, please verify that you are in fact a real human being!

Data Protection Policy By submitting this form to GCCG you consent to your personal information being stored in a secure computer database and used for the purpose of Club related communications only. GCCG takes the security of our members' details seriously and never releases personal information for commercial use. Your information will be kept in a password protected database accessible only to you and authorised officers of the Club, except for limited profile information including your name but not contact information which is viewable by other Club members. You may view all of your information at any time via your online account. Any credit card information provided when paying your subscription is collected and stored by a secure Paypal website and not by GCCG.