Chrysler Restorers Club of Australia, Victoria Inc
PO Box 3143, Nunawading VIC 3131
www.chryslerclubvic.org.au

This online form can be used to submit a new Membership Application that is accompanied by a separate ONLINE payment (such as Bank Transfer, or PayPal or Credit Card) or Cheque payment .
Please use the payment options described in the email that is returned to you to complete the payment.

If you do not wish to nominate an email address for communications from the club, then please download the PDF Membership Application from the club website instead, and post that manual application with your Cheque, Money order or other payment details

NB: The email address used for this application does not need to be the same as the email addresses, nominated later, for Club communications
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