INSTRUCTIONS FOR COMPLETING

1. FILL IN THE FORM

(Form should be filled in the Latin alphabet in your passport or supporting documents)

2. Print the form.

3. Sign the forms.

4. Attach 2 (two) color photographs measuring 4x5 cm (1.5 x 2 inches).

5. Make payment of the membership fee the club.

6. Send a signed and completed application form, photograph, signature, a copy of the national rights to:

INTERNATIONAL DRIVER'S CLUB

Address: Herzena 1/17, Chernivtsi, Ukraine, 58022

Tel.: +38.0372.53-07-25, 53-84-15

Fax: +38.0372.58-50-44, mob. + 38.050.676-33-00

e-mail: [email protected]  [email protected]

7. Or fill out, attach the photo and signature, and mail or e-mail.

         NOTE: Your documents will be mailed to the address specified in the questionnaire.