Membership Form

NEW MEMBER FORM

Please complete this form and post it to:

Nelson Car Club Inc.
P O Box 231,
Nelson.

NOTE: Membership for your first year is free! Your application will be approved at the next Committee meeting and you will then be sent your membership card and club information pack.

SURNAME:	FIRST NAME:
TITLE:	OCCUPATION:
ADDRESS:

Phone (Day):	(Night):
Date of Birth (required for statistical purposes):
Email:
Competition Vehicle:
Any Comment:
I/We hereby apply to become a member(s) of the Nelson Car Club Inc. I/We agree to adhere to all the Rules of the Club and to any addition, alteration or amendment to them which from time to time may be lawfully made. Signed: __________________________________________ Date: ___________________________________________