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A.S.R.C.C. MEMBERSHIP 2006 APPLICATION-RENEWAL FORM

Name:
Membership No.
Address:
Telephone (home)
Telephone (work)
Mobile:
e-mail

Membership fees are:
Australia - new member $45.00 (includes $10.00 joining fee)
Australia - renewal $35.00
(Club Lines Newsletter is included in membership fee).
Australia - family membership $15.00 extra (for second and subsequent family members)
(Club Lines newsletter is not included in this option)
   
 


The membership runs from January 1st to December 31st.

For new members, or re-joiners, after 30th June - please contact Membership Secretary to negotiate reduced fee.

The Club reserves the right to refuse applications at its discretion.


METHOD of PAYMENT

 		 
Cheques or money orders payable to "Club Lines" ( not ASRCC)

NOTE: we cannot accept cheques made out to ASRCC

 I enclose cheque/money order for $
 
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signed ........................................................................
 date...............................................................

Please print out this form, complete and send with fee to:


The Secretary,
PO Box 577,
Wentworthville,
NSW 2145
Australia.

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