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GSM
Car Club of South Africa http://www.gsmclub.co.za |
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| Application for Membership |
P.O. BOX 154 PAROW 7499 Tel: (+27 21) 930 2852 Fax:(+27 21) 930 6455 Cel: 082 800 7691 E-mail: foucheng@iafrica.com |
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Surname & Title
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Christian Name
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Nickname
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Date of Birth
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Spouse's Name
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Address
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Home
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Postal
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Telephone
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Home
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Work
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Cellular
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Email
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Cars Owned Questionaire
Tell us about your Dart and/or Flamingo |
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Model
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Year
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Colour
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Engine Number
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Chassis Number
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| Single Membership : R100,00 Family Membership : R150,00 |
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SUBS BECOME DUE AT THE END OF JUNE OF EVERY YEAR
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