MEMBERSHIP APPLICATION FORM & TAX INVOICE
PORSCHE
NEWS A.B.N
80554625717
The Official Journal of the Porsche Club Queensland Inc.
You can pay by Credit Card for applications and renewals online: Porsche-QLD.org.au Tick One Box in One Category Annual Membership
New Membership
July 1 to June 30
Renewing Member
Single Membership1
$175 (Annual Fee $115 + $60 Joining Fee)
$115 (Annual Fee $115)
Single Parent Membership2
$175 (Annual Fee $115 + $60 Joining Fee)
$115 (Annual Fee $115)
Family Membership3
$198 (Annual Fee $138 + $60 Joining Fee)
$138 (Annual Fee $138)
Junior Associate Membership4
$118 (Annual Fee $58 + $60 Joining Fee)
$58 (Annual Fee $58)
Next step - Complete Part B
Next step - Complete Part A
Next step - Complete Part B & C
Next step - Complete Part A
Next step - Complete Part B & C
Next step - Complete Part A
Next step - Complete Part D
Half Year Membership
Next step - Complete Part A
New HALF YEAR Membership (Annual Fee Discounted 50%)
January 1 to June 30
$118
Single Membership1
(Annual Fee $58 + $60 Joining Fee) Next step - Complete Part B
Family Membership3
$118 (Annual Fee $58 + $60 Joining Fee) Next step - Complete Part B & C $129
Junior Associate Membership4
$89
Single Parent Membership2
(Annual Fee $69 + $60 Joining Fee) Next step - Complete Part B & C
PART A. RENEWING MEMBER
(Annual Fee $29 + $60 Joining Fee) Next step - Complete Part D (Please print clearly)
(Sign below as applicant)
First Name:
Surname:
PCQ Membership Number:
** If updates to your details are required: complete detail sections on the next page
Please Sign Below
Application cannot be processed without Signature
My Cheque or Postal Note made out to Porsche Club QLD for: $ I wish to:
Apply for . Renew my .
is attached.
Full Membership Associate Membership6
With the Porsche Club QLD Inc. (An association incorporated under the Association Incorporated Act of 1981). I agree to abide by the rules of the Porsche Club Queensland Inc. APPLICANTS SIGNATURE
Date
2
Date
nd
APPLICANTS SIGNATURE
October - November 2016
NEW MEMBERS Please complete details on next page PORSCHE
NEWS
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