Californian Cruisin Inc.

Newcastle, NSW. Australia

 Wintersun 2005

 

First or Given Name/s 
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Surname 
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Spouse or Partner's Name 
Address line1 
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Address line 2 
Suburb or Town 
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Postcode 
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Nearest Major town  *
State  *
Country  *
Your Occupation 
Your date of Birth 
Home Phone Number
(Including Area Code) 
Work Phone Number
(Including Area Code) 
Mobile Phone Number 
Your Email Address  *

       Magazine delivery preference - snail mail or e-mail                                

Primary Vehicle Year 
Make 
Model 
Body Style 
Registration Number (or last known number) 
Colour 
Condition 
 
If you own more than one vehicle,
you may add any details of other vehicles here.
Please add any comments you may have. 
And lastly, please be kind enough to let us know how you found the Californian Cruisin' Inc Website. 
That is, did you find us by Internet search, newspaper, magazine, friend, car show, etc?
 

Print this form, include your cheque for $40 for 2009-10 and post to;

The Treasurer, Californian Cruisin' Inc.

251 MORPETH ROAD,

RAWORTH  2321