L200 Owners Club Online Membership Form

Please enter your name:

Please enter your Full name and address

Please include your Postcode, County and
your Country if you are a non UK resident.

Please enter your Telephone number:

Please enter your email address:

Please confirm your email address:

Please enter your Forum Name:

Please enter your current Insurance company:

UK sourced or Import:

UK Import

The information given above will be used to build up a database of information to assist all the members of the club. 
Your name & address will not be passed to anyone unless you state that we can do so. 
It may be that from time to time it is useful to put individual members in touch with each other. 
If you do not object then please indicate below:  

Data Protection - May share your information ?

Yes - share my data responsibly       No - do not share my data

What year is your truck ?:

What model of  L200 do you own ?

Warrior Animal Barbarian 4Life Trojan GLS 4Work Strada Doublecab Clubcab Singlecab

What colour is your truck ?

Red Red over Silver Green Green over Silver Blue Black Black over Silver White Silver Titanium Grey

What options do you have ?

Air Con ABS Bull Bars Hardtop Sunroof Leather

Serviced by ?:

Any problems ?:

Please send your Paypal payments to chris@L200.org.uk

Please send a cheque made payable to ‘C Grayshon-Pedley’

The fee is £15.00 - to cover the one-off membership fee (£17 for Europe/Republic of Ireland and £20 for the rest of the World - To cover postage).
Please add £2.00 if you'd like a mug (UK only) Extra mugs are £3.50 each inc. p&p

There will be no refunds under any circumstances.