APPLICATION FOR MEMBERSHIP
* DATE:……………………
* FULL NAME: Mrs Mr Miss……………………………………………………. ........................................
* ADDRESS:……………………………………………………………………PHONE No:…………………Mob................................
…………………………………………………………………………...….POST CODE:…………………………
PARTNERS NAME:………………………………………………
CHILDRENS NAMES AND AGES:……………………………………………………………………………..…
..………………………………………………………………………………….
ENCLOSED IS SUBSCRIPTION TO 30TH JUNE 20……
FEES = $55.00 FOR PRINTED AND POSTED NEWS LETTER OR
= $45.00 FOR EMAILED NEWSLETTER
* EMAIL ADDRESS : ...................................................................................
* PROPOSED (Print)………………………………..............(sign)..................................................................................
* SECONDED ( Print)...........………………….............................(sign).....................................................................................
Accepted (office use only).......................................................................
PLEASE NOTE : THAT A THREE MONTH PERIOD IS APPLICABLE BEFORE VEHICLE PERMIT APPLICATIONS CAN BE REQUESTED
other club conditions and restrictions apply please attend meetings or discuss with a committee person for current information.
MAKE OF VEHICLE:………………………………………………………………………………………………….
Model:………………………………………………………………………………………………YEAR……………
BODY TYPE:………………………………………………REGISTRATION No.:…………………………………..
ENGINE No.:…………………………………………COLOUR……………………………………………………….
STATE OF RESTORATION:……………………………………………………………………………………………
** SIGNATURE: ............................................................................................................................................
PLEASE FORWARD APPLICATION TOGETHER WITH THE PRESCRIBED FEES TO:
THE SECRETARY OF WDCVC AT A MONTHLY CLUB MEETING.
* Mandatory Fields must be completed.
