Leyland
P76 Owners Club Of
VictoriaMembership Application and Renewal Form
2007-2008
Please make your cheque of $60.00 payable to
"Leyland P76 Owners Club Of Victoria"
and mail to "The P76 Registrar"
c/o 245 Windemere rd Lara 3212
| Leyland
P76 Owners Club Of
Victoria |
Membership Application and Renewal Form 2007-2008 Please make your cheque of $60.00 payable to "Leyland P76 Owners Club Of Victoria" and mail to "The P76 Registrar" c/o 245 Windemere rd Lara 3212 |
| SURNAME:_____________________________________________ |
| GIVEN NAMES:_____________________________________________ |
| ADDRESS:_____________________________________________ |
| _____________________________________________ |
POSTCODE |
| PHONE NO:_____________________________________________ |
| EMAIL ADDRESS:_____________________________________________ |
|
| I............................................. AGREE
TO ABIDE BY THE RULES OF THE LEYLAND P76 OWNERS CLUB OF VICTORIA
INC
AND WORK
TOWARDS THE FULFILLMENT OF THE OBJECTIVES OF THE CLUB. |
| SIGNED:.................................................
DATE............................ |
Home
page