UPGRADE Membership

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ADD YOUR NEW DETAILS

Please complete the form below to add details of extra Members .

You can upgrade from 4x4 Response membership, to either Individual Club Membership or Family Membership, or from Individual to Family Membership. It can also be used to add more Additional Family Members.

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Validity Period

When you submit the upgrade it will be valid until the date of Expiry of your original membership. Renewal will then include all of the changes made and you will be charged the appropriate fee.

If you wish to DOWNGRADE then please contact the Membership Secretary

UPGRADE Membership

Select Upgrade Type *

4x4 Response to Individual

4x4 Response to Family (All children under 18)

4x4 Response to Family + 1 Additional (over 18)

4x4 Response to Family + 2 Additional (over 18)

Individual to Family (All children under 18)

Individual to Family + 1 Additional (over 18)

Individual to Family + 2 Additional (over 18)

Add Additional to Existing Family Membership

Add 2 Additional to Existing Family Membership

Individual Membership - One Adult Member
Family membership - Up to 2 Adults and Children Under 18 living at the same address
Additional Family Member - An Adult (over 18) Living at the same address as the Lead Member (and not in full time education)
4x4 Response Only - This can be purchased separately to Club membership (Can be added Free of Charge for Club Members upon application to the 4x4 Response Controller)

Contact the Membership Secretary if your Membership requirements differ from the above, or you wish to DOWNGRADE your membership at the next renewal.

Lead Member Details

Name

First

Last

Memb. No.

Phone

Address

Address line 1

Address line 2

Town/City

County

Post Code

Address

Total

Family Member Details

Partner/Spouse Name

First

Last

1st Child Name

First

Last

Date of Birth

2nd Child Name

First

Last

Date of Birth

3rd Child Name

First

Last

Date of Birth

4th Child Name

First

Last

Date of Birth

5th Child Name

First

Last

Date of Birth

6th Child Name

First

Last

Date of Birth

Additional Family Member

Name

First

Last

2nd Additional Family Member

Name

First

Last

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