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Please print this form and forward it along with your cheque to: The Secretary, Volks Enthusiasts Club, PO Box 306, Kent Town South Australia, Australia 5071. |
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ATTENTION: ALL VW ENTHUSIASTS |
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Volks Enthusiasts Club SA Inc |
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Name(s): |
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Address: |
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PostCode: |
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Occupation: |
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Date of Birth: |
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Phone Number(s): |
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Year |
Model | Engine Make | Engine Size | ||
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Owner & Driver of: |
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MEMBERSHIP DETAILS |
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MEMBERSHIP FEES (AUD) |
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Month
Joining
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Jul-Sep
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Oct-Dec
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Jan-Mar
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Apr-Jun
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Fee (Full/Assoc)
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$50/$25
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$40/$20
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$30/$15
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$50/$25
(15 mths)
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FULL MEMBERSHIP |
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ASSOCIATE MEMBERSHIP (only available where there is a Full Member residing at the same address) |
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Signed: |
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Date: |
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