Yass Valley Cruisers 92 Laidlaw St, Yass, NSW 258 Contacts: Dave Mather: 0407915739 Colin Hudson: 0409001656 Email: email@example.com
MEMBERSHIP APPLICATION /RENEWAL 2018 Membership fees are due in January each year. Your club membership runs from January 1st to December 31st. Members who remain un-financial after the March meeting will no longer receive newsletters from that date. Please enclose: $50.00 Family Membership (includes children under 17 years) $40.00 Single Membership $20.00 New Member Joining Fee Cheque or Cash (please circle one) Total: $ .00 Members Name: Spouse/Partner Name: Children's Narne/s: Address: Phone No: E-Mail: P/Code: (Home ) (Work) (Mobile ) Please list all veteran/ vintage / classic vehicles eligible for Club Registration YEAR MAKE MODEL BODY REGO RESTORED UNDER RESTORATION TYPE NUMBER A Photograph of your vehicle would be appreciated for inclusion in the club photo album. Please put name, address and vehicle year, make and model on the back.