Porsche News October - November 2016

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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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