AppendixJ

Association of NSW Inc.

ABN 58 489 326 194

All 2009 Annual Memberships expire 31/12/09

You must be a member of a CAMS affiliated club to compete!

Please complete your details in full, especially your current e mail address, to allow the club to easily contact you.

If changing address please notify Secretary to ensure continuation of magazine delivery.

Please tick

Membership Renewal $90.00 [includes magazine]

OR

Magazine Subscription $40.00

OR

Annual Magazine Advertisement $500 Full page $250 Half page $ 125 Quarter 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 to:

The Secretary

For Office Use only

Cheque number

Receipt number

Card issued

Membership number

Appendix J Association of NSW

PO BOX 1413

Wahroonga NSW 2076

Enclosing cheque or money order.

EFT NOW AVAILABLE BSB 062202 ACCOUNT# 00906475

2010

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:

Member’s 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