London Vintage Taxi Association
American Section
Membership Application

(You can complete most of this form prior to printing, signing and posting if you wish)

Please complete, and return this form with your remittance payable to L.V.T.A. to:
John Freeston
U.S. L.V.T.A. Membership Secretary
PO Box 445
Windham, NH 03087

Name:
Address:

Home telephone: Work telephone::
Fax: Email address  



1. Do you own a taxicab? If so, please give the original GB registration and model/description:

2. Do you have any other historic vehicles?


3. Do you have any skills or facilities that you think would assist other members?


4. Do you use your taxi(s) in any commercial enterprise?


I wish to apply for membership in the London Vintage Taxi Association and hereby agree to abide by the rules of the Association.

United States/Canada annual dues $59.00 (Applicants may pay $30.00 after July 1st.)

I enclose a cheque/postal order for $69 / $40 as payment of my first year's Association joining fee and dues. (Includes One-time joining/application fee of $10)

Signed: ………………………………………………… Dated: …………………..

When completed return this form with your remittance to the US. LVTA Membership Secretary, PO Box 445, Windham, NH 03087