2015 Membership Application .pdf
Original filename: 2015 Membership Application.pdf
Author: Craig Leven
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APPLICATION FOR MEMBERSHIP OF ASSOCIATION
Dubbo City Car Club Incorporated
ABN 63 603 148 610
PO Box 1054 Dubbo NSW 2830
Ph 0427 843 588
(incorporated under the Associations Incorporation Act 1984)
What Vehicles do you own?:_______________________________________________________________
If family membership, please list Names and Ages:
I hereby apply to become a member of the Dubbo City Car Club Inc. 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.
Signature of applicant
Annual Membership Rates (Please include Fee with application)
Additional Family Members (13 & Over)
Additional Family Members (12 & Under)
Send Chq or Money order to DCCC, P.O. Box 1054, DUBBO NSW 2830
Cash - Drop in to see Brett or Craig at Autobarn Dubbo
Direct Deposit - BSB: 932 000 Acc. No: 35407 - Use Surname as a reference
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