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 Bay Of Plenty
 

Mustang Owners Club

MEMBERSHIP APPLICATION / RENEWAL FORM


DATE:...................................................

NAME:...............................................................................................................................................................

PARTNERS NAME...............................................................................................................................................
(If also wishing to become a member)

ADDRESS:.........................................................................................................................................................

.........................................................................................................................................................................

PHONE:...................................................      EMAIL..........................................................................................

DETAILS OF YOUR MUSTANG

YEAR.........................................................      MODEL......................................................................................
                                                                       (Convertible, Mach 1, GT, Sportsroof, Boss etc)

COLOUR:..................................................      ENGINE......................................................................................

TRANSMISSION:...............................................................................................................................................

SPECIAL FEATURES:........................................................................................................................................

.........................................................................................................................................................................

.........................................................................................................................................................................

Please post the completed application form PLUS the $30 Membership Fee to:

Secretary

  Bay of Plenty Mustang Owners Club
 
9 Knightsbridge Place, Bethlehem, Tauranga