THE STUDEBAKER CAR CLUB OF AUSTRALIA INC.

MEMBERSHIP APPLICATION FORM

FAMILY NAME..........................................................      GIVEN NAME........................................................................

ADDRESS...........................................................................................................................................................................

..................................................................................................................       POSTCODE...............................................

NAME OF SPOUSE/PARTNER......................................................................................................................................

PHONE.............................................................................       FAX....................................................................................

MOBILE...........................................................................       EMAIL...............................................................................

I ENCLOSE $20 APPLICATION FEE, PLUS $40 MEMBERSHIP FEE FOR THE CURRENT FINANCIAL YEAR. 

SCCA FINANCIAL YEAR COMMENCES ON MARCH 1ST AND RENEWAL FOR ALL MEMBERS IS DUE BY

FEBRUARY 28TH OF EACH YEAR. NOTE - IF JOINING BETWEEN SEPTEMBER 1ST AND DECEMBER 31ST, 

REMIT $20 APPLICATION FEE, PLUS $20 MEMBERSHIP FEE FOR HALF YEAR.

SIGNATURE...................................................................               APPLICATION DATE..............................

PLEASE FORWARD PAYMENT TO:

THE TREASURER - SCCA

PO BOX 6,  BENTLEIGH  EAST,  VIC,  AUSTRALIA,  3165

CHEQUES PAYABLE TO "THE STUDEBAKER CAR CLUB OF AUSTRALIA INC."

VEHICLE DETAILS

I AGREE THAT MY DETAILS AS PROVIDED ON THIS FORM CAN BE INCLUDED IN THE 

CHRONOLOGICAL LISTINGS. 

IF YOU "DO NOT" WISH FOR YOUR DETAILS TO BE 

INCLUDED IN THE CHRONOLOGICAL LISTING 

PLEASE TICK THE BOX BELOW:      

MODEL                        BODY STYLE                CATEGORY                                              CONDITION

COMMANDER            SEDAN                                 P = PARTS CAR                                  F = FAIR

CRUISER                     COUPE                           TBR = TO BE RESTORED                       G = GOOD

LARK                            2 DOOR                           UR = UNDER RESTORATION               E = EXCELLENT

HAWK                          S/WAGON                          R = REFURBISHED                             ADD N.R.C. IF USED 

CHAMPION                CONVERTIBLE                 FR = FULLY RESTORED                      AS NORMAL ROAD CAR

AVANTI,  ECT.             HARD TOP, ECT.               O = ORIGINAL