Signed: -----------------------------------------------------
Date : -------------
All applicants should complete the form online then print it out,
sign the form and photographs and post to :
Secretary Vintage Austin Register Of New Zealand Inc.
Judith Stephens, 217a Wainoni Road, Avondale, Christchurch. 8061 Phone 03 382 9199
Personal details are for the sole use of the
Vintage Austin Register Of New Zealand Inc. and its members as provided for
in the Privacy Act 1993
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