Membership Application
Please send this page together with your remittance to:
P.O. Box 6103, Rogge Bay, Cape Town, 8012, South Africa

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

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 : 021-423-3411
Bob & Jeff Corbett Fax: 086-616-0755

ASSURANCE & INVESTMENT BROKERS