The Moth Service Register
On-line Submission Form


Submit here your on-line recommendation for inclusion in 
the Moth Service Register
This form can also be used for amendments to the Register.

There is no charge for inclusion in the Moth Service Register. The pursuit of sale of spares and provision of services is considered a necessary part of the Club network. While recommendations and/or amendments to the Moth Service Register are accepted and published in good faith, the de Havilland Moth Club can accept no responsibility for claims made for goods or services by vendors or their agents.
Note that more than one category can be proposed. Insert the number of name, as shown in the Register index, or, when applicable, propose a new category.

 
Recommendation for addition to the Moth Service Register
Amendment to the Moth Service Register

 
your name* 
your e-mail address *
are you a member? 
yes
no

Please, accept my recommendation for addition/ amendment to the Moth Service Register:
 
 
proposed category * 
name of service * 
contact person 
street and/or p.o. box * 
city * 
mailcode * 
if no code, insert "none"
country * 
telephone * 
fax *
if no fax, insert "none"
e-mail address (if any) 
website URL (if any) 
please explain in a few words why the service you recommend here qualifies for addition to the Moth Service Register * 
* indicates a compulsory field
 
 

After sending your order, details will be shown on your screen. You may print off this page for your own records.

Thank you for your interest.


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This page last updated on 3 January, 2004.

deHMC © de Havilland Moth Club