Application Form

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MEMBERSHIP FEES

MEMBERSHIP $75 pa

NEW MEMBERSHIP $100 pa (Inc. Name tag & shirt 1st year only)

COUPLES MEMBERSHIP $120 pa

NAME TAG (optional) $5 each

Bank transfers: BSB: 112 879 / ACC: 043316814

Cheque or money orders payable to: NSW CORVETTES UNLIMITED CAR CLUB INC. P.O BOX 1044, Green Valley NSW 2168.

Membership covers a twelve month period from July to June or $7 per month until the end of June.

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Title

Surname

First name

Address

Suburb

Postcode

Postal Address

Suburb

Postcode

Occupation

Spouse / Partner Name

Phone - Home

Mobile

Get a copy

D.O.B

D.O.B - Your Spouse / Partner’s

Shirt Size

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Year

Engine

Color

Trim

Trasmission

Rego

Will you be requiring club registration?

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I the undersigned wish to become a member of the NSW Corvettes Unlimited Car Club Inc. and enclose my subscription herewith. I agree that I will abide by the Constitutions of the NSW Corvettes Car Club Inc.

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Fee(s) Enclose $

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How did you find out about the NSW Corvettes Club?

Do you have a business or trade that you would like to promote in our Newsletter or Web Site?

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Comments

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MEMBERSHIP FEES

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