Yass Valley Cruisers
92 Laidlaw St,
Yass, NSW 258
Contacts:
Dave Mather: 0407915739
Colin Hudson: 0409001656
Email: kelly@yassvalleyauto.com.au
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.
Signed:
Date:
92 Laidlaw St,
Yass, NSW 258
Contacts:
Dave Mather: 0407915739
Colin Hudson: 0409001656
Email: kelly@yassvalleyauto.com.au
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.
Signed:
Date:
