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Cape Alfa Romeo Club

Membership Application
Please send this page together with your remittance to:
P.O. Box 804, BELLVILLE, Cape Town, 7535, South Africa


I/We the undersigned hereby make application to enroll as member/s of the Cape Alfa Romeo Club and agree to abide by the rules and regulations as laid down in the constitution. Read the constituion here.

Name & Surname:
Id Nr:
Postal Address:

Post Code

 
Occupation: Tel Work:
Tel Home: Fax No:
Cellphone No: E-mail:
Spouse's Name: Occupation:

Alfa Romeo's

Year Model Cubic Capacity Body Type
       
       
       
       
Modifications:
Membership of other motor clubs:
Introduced by:

I/We enclose a remittance of R                 being R               yearly subs plus R50-00 entrance fee.


Cheques may be made payable to Cape Alfa Romeo Club.  Signature ........................................

Membership Fees:
Town Membership:
(<100km radius) R250-00 pa
Country Membership:
(>100km radius) R150-00 pa
Overseas Membership:
(Outside S.A.) R100=00/$15-00
Entrance Fee: R50-00/$5-00

This page kindly sponsored by  
RAVEN Incorporated bob@raveninc.co.za
Tel : 021-558-2000
Bob & Jeff Corbett Fax: 086-616-0755

ASSURANCE & INVESTMENT BROKERS

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