TRF CAR CLUB MEMBERSHIP FORM
for Printing and Mailing or Faxing

If you are going to join this club by any means other than by phone, we suggest the following ways: print this form out and mail it or fax it to us.

 

Name

________________________________________________

 TRF Customer Number

_____________

Daytime Phone

________________________________

 Evening Phone

______________________________

 

Mailing Address  

 

P.O. Box or Street

_________________________________________________________________________

City

_________________________________________________________________________

State

___________________________________________________

 Zip

_______________

Shipipng Address

Please provide a shipping address if your mailing address is a Post Office Box

Street Address

_________________________________________________________________________

City

_________________________________________________________________________

State

___________________________________________________

 Zip

_______________

 

British Car Info

Marque

Model

Year

Comm. No.

Car No. 1

  

 

 

Car No. 2

  

 

 

Car No. 3

  

 

 

 

Method of Payment:

Credit Card

___ VISA
___ Master Card
___ Discover
___ American Express

Card No. _________________________________________

Expiration Date: ___________________________________

Card Holder Name: ________________________________

 
Card Holder Signature: _____________________________

Billing Address
If different from Mailing address above

P.O. Box
or Street

________________________________________

City

________________________________________

State

___________________________

 Zip

________

___ Personal Check
___ Cashier's Check or Money Orders

If you wish to call in your credit card number by telephone, we will keep a record of it until we receive your membership form. Call Toll Free: 800-678-8764

Mail this form with payment to: 

The Roadster Factory
P.O. BOX 332
Armagh, PA 15920

Or FAX to: 

814-446-6729

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