CHRISTIAN AUTOSPORTS
CLUB OF
Membership Application
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Member/s Full Name/s |
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Address |
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Suburb |
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Post Code |
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Phone No/s |
(Home) |
(Work) |
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Email Address/es |
(Home) |
(Work) |
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I/we
hereby apply for new membership of the abovementioned association. In the event
of my/our admission as member/s, I/we have read the constitution and agree to
be bound by the rules of the association for the time being in force.
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Member's Signature |
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Date |
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Member's Signature |
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Date |
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Member's Signature |
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Date |
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Notes:
· If any members are under 18 years old, his/her legal guardian must also
sign.
Family membership includes two adults plus any junior
members.
· If more than 3 members include
details for other on a separate sheet.
Declaration
by a Minister of Religion.
Minister
to complete:
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I . . . . . . . . . . . . . . . . . . . . . .
. . . …….. . . . . . . . . (minister) recommend the above signed person(s) as
eligible for membership. |
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Signature of Minister
. Date ……/……/……. |
Applicant(s) please complete the following information:
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Name of church attended |
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Minister's Name |
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Other club affiliations |
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Member 1 |
Member 2 |
Member 3 |
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Date of birth |
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When did you become a Christian? |
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Do you hold a current driver's license? |
(Yes/No) |
(Yes/No) |
(Yes/No) |
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Provisional? |
(Yes/No) |
(Yes/No) |
(Yes/No) |
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Make/Model of Vehicle(s) |
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Brief details of other modifications |
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Club
Fees: Single - $38 Family - $65 Junior - $30
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Total Paid |
$ |
Receipt Number |
Licenses Posted (Yes/No) |