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.

ATTENTION: ALL VW ENTHUSIASTS

Volks Enthusiasts Club SA Inc


Application for Membership

 

Name(s):

Address:

 

PostCode:

Occupation:

Date of Birth:

Phone Number(s):

 

Year

Model Engine Make Engine Size

Owner & Driver of:

 

 

 

MEMBERSHIP DETAILS

MEMBERSHIP FEES (AUD)

Month Joining
Jul-Sep
Oct-Dec
Jan-Mar
Apr-Jun
Fee (Full/Assoc)
$50/$25
$40/$20
$30/$15
$50/$25 (15 mths)

FULL MEMBERSHIP

ASSOCIATE MEMBERSHIP (only available where there is a Full Member residing at the same address)


I will do my best to uphold the name of the Volks Enthusiasts Club of SA Inc and abide by the Constitution and the By-Laws. I currently own a vehicle powered by a VW engine (as shown above).


 

 

 

Signed:

Date: