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Membership Form

Please print the page after filling it out and post to: The Secretary, Sprite Car Club of Queensland Inc. PO Box 9 Salisbury QLD 4107. Or, email your details to spritecarclub@optusnet.com.au

Annual membership is $50.00 per family (residing at the same address), there is also a lifetime membership option available for 6 x the annual membership.

Membership categories:

Name:

Name of Associates:

Address :

Suburb/Town: State: Postcode:

Home Ph #: Business Ph #:

Mobile Ph #:

Email:  

Note: Membership only open to a person who is an owner of a Sprite or MG Midget.
Year:
  Make: Model:
Body Number:
   Chassis No:
Engine No.:    
  Rego No.: 

Colour:              Engine Size:
CAMS Log Book:   
Yes  No

Log Book No.:

   
Other cars owned:

Office use only:

Purposer:_________________________________________________

Seconder:_________________________________________________

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