Wellington Region

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Greater Wellington Citroën Car Club Inc

The Greater Wellington Club was established in 1963 with the object of fostering interest in, and the preservation of, Citroën vehicles. Members come from the Greater Wellington region of the lower North Island, including the Manawatu, Wairarapa, Kapiti Coast, Hutt Valley, and of course Wellington City, the capital of New Zealand. Owners or prospective owners of ALL Citroëns are welcome !

Join today by printing off the Application form below and posting your remittance and details to:
The Secretary
Greater Wellington Citroën Car Club Inc
P O Box 3437
Wellington

Subscription rates are as follows:

From 1 January (full year) - - - $40-00

From 1 July (half year) - - - - - $20-00

To print form IE users:- 1-highlight form 2-file menu 3-print 4-selection 5-OK

MEMBERSHIP APPLICATION FORM - GWCCC

I/We wish to apply to be elected as member/s of the Greater Wellington Citroën Car Club (Inc) and agree to abide by the Club rules. I/we consent to the information contained on this form being used in any way in connection with the objects of this Club, (or the CCCNZ, to which it is affiliated) I/we acknowledge my/our right of access to, and correction of this information. This consent is given in accordance with the Privacy Act 1993.

Names

First Name

Last Name/Surname

Name

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Partner/Spouse

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Dependants/Others

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Address

Street:

Residential

Postal: (if different from residential)

Suburb:

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City/Town:

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.

Occupation: (requirement of Incorporated Society Act)

Details of Citroën/s Owned

Model type

Year

Registration

Colour

km/mls

1.

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.

.

2.

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3.

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Phone : (home)

(work)

(email)

Applicant Signature:

Date:
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