Complete this form, print it out and post it along with your cheque to: Ford 8 & 10 Car Club, P O Box 15587, New Lynn, Auckland, NZ.
Existing members may email their details and use internet banking to renew their membership.

Ford 8 & 10 Car Club Membership Application / Renewal

Name:
Address:
Postcode:
Phone: Email:
Cars to be registered as club vehicles: 1. 2. 3. 4.
Year:
Model:
Registration:


I hereby agree to foster the preservation, use and enjoyment of Ford 8 & 10 horsepower motor vehicles.
New members: Please supply a recent photo for club records.

Please choose a membership option below:
Renewal :$NZ 40
      (current members renewing before 1 June)

New member:
Jan
$24		 Feb
$20		 Mar
$16		 Apr
$12		 May
$8		 Jun
$48		 Jul
$48		 Aug
$44		 Sep
$40		 Oct
$36		 Nov
$32		 Dec
$28

I have enclosed a cheque for: $NZ

Please send me the club newsletter by email.
I agree to allow the club to make available my name,
address and phone number for other club members.
Please make all cheques payable to:
Ford 8 & 10 Car Club Inc.
and send to:
The Treasurer, Ford 8 & 10 Car Club
P O Box 15587
New Lynn, Auckland
New Zealand

Or Internet Banking: (renewals only)
Credit ASB Bank A/c: 12-3034-0535576-00
and enter your surname and phone number
in the bank details or reference fields
SIGNATURE:
The Ford 8 & 10 Car Club Inc maintains a membership database containing only that information supplied by members on their subscription forms. This is used by the Club for the production of mailing lists for the Club Newsletter or other Club contacts with members, and the production of membership and contact phone listings for the explicit use of the Club's appointed Committee. The committee undertakes that it shall take all reasonable precautions to ensure the information held will be treated as strictly confidential to the Club Committee or appointed 'Club event organisers' and that no reproduction of address listings, phone listings, or other information available to the Club Committee from your subscription forms will be made available to anyone else without the individual members explicit authority. The New Zealand Privacy Act 1993 gives you the right to see and request correction of any information regarding yourself held on our records. Such requests should be directed to the Club Committee. Modified 2 February 2008