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Complete the Membership Application
Form (PLEASE USE BLOCK LETTERS), and send it with your $5 application fee + $50.00 joining fee to:
1949 – 1962 Ford V8 Club of NSW INC
7 CHRISTIE ST RAGLAN NSW 2795
OR
48 Currawang St Concord West NSW 2138
Name_______________________________ DOB__________________
Partner______________________________ DOB__________________
Phone No__________________________________________________
I wish to join as a: Full Member /M2/ Associate Member (circle one)
I am present owner of: Model_________________ Year____________
Registration_______________ Body Style ________________________
__________________________________________________________
__________________________________________________________
Signed_______________________________________________
Signed______________________________________________
Dated_______________________________________________
Signed______________________________________________
Date received_____________________________________
Membership No. Issued_TBA____________________________
Membership No. Issued_TBA____________________________