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Application for Membership
This form should be completed and forwarded to:
Ford 8 & 10 Sidevalve Club Inc
PO Box 542
Kadina SA 554
AUSTRALIAIf you have more than one vehicle could you please attach a complete list with your membership application. If you have any questions please feel free to Contact : puust@yp-connect.net
Application Form I wish to apply for membership of the Ford 8 & 10 Sidevalve Club Inc and hereby agree to abide by the rules and by-laws of the club. |
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I enclose $ ___________ being the membership fee for the current financial year. (Full membership is now $40.00 p/a with a joining fee of $10.00) |
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| SIGNATURE | |
| DATE: | |
| SURNAME: | |
| FIRST NAME: | |
| ADDRESS : | |
| PHONE NO: | |
| CAR TYPE: | |
| CAR MODEL: | |
| CAR YEAR: | |
| REGISTRATION NO: | |
| ENGINE NUMBER: | |
| BODY NUMBER: | |
| CHASSIS NUMBER: | |
| BODY COLOUR: | |
| INTERIOR COLOUR: | |
| RESTORED Y/N ORIGINAL Y/N UNDER RESTORATION Y/N | |
| ANY OTHER COMMENTS: | |
