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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
4 GUM ST OR 48 Currawang ST
RIVERSTONE NSW 2765 Concord West NSW 2138
Name_______________________________ DOB__________________
Partner______________________________ DOB__________________
Address____________________________________________________
_______________________________Postcode____________________
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 ________________________
State Original
&/or modifications_______________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
I,
__________________________________, hereby apply to become a member of the
above named Incorporated Association. In the event of my admission as a member,
I agree to be bound by the rules of the Association for the time being in
force.
Signed_______________________________________________
Date_________________________________________________ Nomination by Club
member/s for applicants’ membership:
I, ______________________________________, being a financial
member of the 1949 – 1962 Ford V8 Club of NSW INC, hereby nominate
________________________________________ for application of membership to the
1949 – 1962 Ford V8 Club of NSW INC.
Signed______________________________________________
Dated_______________________________________________
I, ______________________________________, being a financial
member of the 1949 – 1962 Ford V8 Club of NSW INC, hereby second the
application for membership of______________________________ to the 1949 – 1962
Ford V8 Club of NSW INC.
Signed______________________________________________
Dated CLUB USE ONLY:
Date
received_____________________________________
Membership No. Issued_TBA____________________________
Membership No.
Issued_TBA____________________________