Wesley College Parents' Association
Four Wheel Drive Touring and Recreation Club

Melbourne, Australia

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Membership Application

Please complete the application form below and submit it to us. We will invoice you for the annual membership fee of $50 (pro rata for part year) and send you an indemnity form to sign. You membership will be confirmed once we have received your annual membership fee and you have signed the Club Indemnity Form (both parents to sign click here to view a copy).

Parents' details: Father
Given name: Surname:     		Mother
Given name: 
Surname:     
Address Details  
  Address:  
  Suburb:
  State: 
  Post Code:
Contact Details    
   Phone (Home):
   Phone (Work):
   Mobile Phone:
   Email:
Student Names    
   Name:   Year:
   Name:   Year:
   Name:   Year:
   Name:   Year:
   Name:   Year:
Vehicle Details  
   Make: Model Year
   Fuel Type:
Off road experience
Are you interested in four wheel driver training?  Yes  No

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Copyright © 2002-2007 Wesley College Parents' Association 4x4 Touring and Recreation Club. All rights reserved.
Last modified: 31-Aug-2007.