|
Appendix J Association of NSW Inc. ABN 58 489 326 194
2012 Membership Renewal
All Memberships expire 31st December 2012
Please remember you must be a member of
a CAMS affiliated club to compete! Please ensure you complete the form in full. Writing "the same as last year" on the
form is unacceptable.
Incomplete forms will NOT be processed. If your contact details change, please advise the
Secretary ASAP to ensure delivery of magazines and important messages. Please
tick one of the following:
Full
Membership Renewal $100.00 [including magazine]
Full
Membership Renewal $
90.00 {with emailed or
on-line magazine)
Annual
Magazine Ad $500 Full page $250 ½page $125 ¼ page Name:
_______________________________________________________________________________ Address:
______________________________________________________________________________ ________________________________________ State:
_____________Postcode: _________________ Telephone: Home: ______________________Work:
_____________Mobile: ____________________ Fax: _________________ _______Email:
____________________________________________________ Cams Licence No.: ________________________ Vehicle
Type: ______________________________ Log Book No.: ______________________________Category:
_________________________________
New
Members Only : Sticker
background colour preference:
White Clear
Please mail
your cheque or money order
to: The Secretary Appendix J Association of NSW PO Box 1413 Wahroonga NSW 2076 For Office Use only Cheque number Receipt number EFT Receipt No: Date Card issued Membership / Race Number
Please ensure the bill details, which will appear on the Club's
statement, include your name and the words "Membership", for
new applications, or name and "Membership Renewal" for existing
memberships. or pay by EFT (Electronic Funds
Transfer) to: Commonwealth
Bank BSB: 062-202 Account No:
0090-6475 |
||||||||||||||||||||||||||||||||||||
|
2012 Appendix J Trades and Services Directory Please
complete below if you would like your business or service included in The
Appendix J Club Trades and Services Directory: MemberŐs name:............................................................................................................................................................................ Membership #:........................................................................................... Members Mobile #:.................................................................................... Business Name: .......................................................................................................................................................................... Business Address:........................................................................................................................................................................ Business phone #:........................................................................................ E mail:........................................................................................................... Description of Services (max 25 words):..................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... PLEASE RETURN COMPLETED FORM TO APPENDIX J ASSOCIATION OF NSW PO BOX 1413 WAHROONGA NSW 2076 |
||||||||||||||||||||||||||||||||||||
