Application Form

Good Day,

I, the undersigned, hereby apply for membership of THE VINTAGE AND VETERAN CLUB. If elected, I agree to abide, at all times, by the provisions of the Constitution of THE VINTAGE AND VETERAN CLUB.

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Email *
I enclose my remittance for: (kindly check the boxes) *
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Total Amount: R *

FOR DIRECT DEPOSIT: The Vintage and Veteran Club, Nedbank – Benmore Gardens

Branch Code: 197 – 305, Account Number: 1973038617

Please e-mail proof of payment to accounts accounts@vvc.co.za

FOR DIRECT PAYMENTS CLICK THIS YOCO LINK:

YOCO LINK FOR DIRECT PAYMENT

SURNAME
FIRST NAME
NICKNAME
DATE OF BIRTH
MM
/
DD
/
YYYY
SPOUSE NAME/ PARTNER'S NAME:
STREET ADDRESS:
CODE:
POSTAL ADDRESS:
CODE:
TELEPHONE: HOME
TELEPHONE: BUSINESS
TELEPHONE: FAX
TELEPHONE CELL
EMAIL ADDRESS
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