The Silver Ghost Association
Membership Application

NOTE:  Please complete the information below:

Name:         ________________________________________________________________________________

Spouse:      ________________________________________________________________________________

Address:     ________________________________________________________________________________

        ________________________________________________________________________________

                  _________________________       __________________      ___________       ___________________
                         City                                            State/Province/Shire           Zip/Postcode           Country

 Telephone:    ____________________   ____________________   ____________________   __________________
                       Office                                  Home                                   Fax: Office Fax                    Home Fax

_________________________________        _________________________________
              Office Email                                                 Home Email

Silver Ghosts Owned:  We'd like to track how many miles SGA members put on each of their Silver Ghosts
each year.  Please tell us on the form below, right next to each car, how many miles you drove it in 2002, an
estimate is fine.  May we have your current odometer reading (if fitted) for each Ghost as well?  Thanks.

Year      Chassis No.        Engine No.          Body Style           Body Builder           '02 Miles          Odometer

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

(If you need more space, use the back of this form or additional sheet.)

 ARE YOU AN RROC* - AMERICA MEMBER?      Yes __________    No __________
(*In North America, Rolls-Royce Owners’ Club (RROC) membership is required)

Dues :                                                              Membership …….................................... $55.00

                                                                        New Member Fee ................................... $15.00

                                                                        Spouse (additional $15.00) ...................   $_____

                                                                         Total Enclosed ..................................... $_____

Payment Form :      [ ] Check/Money Order        [ ] MasterCard           [ ] Visa          [ ] Cash

[ ] AUTOMATIC ANNUAL RENEWAL OPTION:  Each January please charge my credit card and send receipt. 
I reserve the right to cancel at any time.   _______
                                                                   Initials

Account Number:  ________________________________________________    Expiration Date:  ____________

Authorized Signature: ________________________________________________________________________

Please make your check/money order in U.S. dollars payable to:  Silver Ghost Association. You may pay for
more than one year if you wish.

Kindly forward payment with this application to:

Deegee Bannon, SGA Membership - 1115 Western Blvd. - Arlington, TX 76013 - U.S.A.
HOME: 817-861-6605; Fax: 817-861-1029--E-mail: SGAMembership@silverghost.com
SGA Website: www.silverghost.com