FORM NVE HVS 1ST | Auto United Car Club

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FORM: NVE HVS 1ST

Personal details

LICENSE NUMBER*

FULL NAME*

ADDRESS*

POSTAL ADDRESS (IF DIFFERENT)

EMAIL*

MOBILE NUMBER*

DATE OF BIRTH*

VEHICLE DETAILS

YEAR MAKE MODEL SEATING CAPACITY*

VIN*

ENGINE NUMBER*

TICK IF LAST REGISTERED IN NSW

VEHICLE PHOTOS exterior interior engine bay boot and suspension *

PINK SLIP INFORMATION (if your using your own pink slip)

NAME OF WORKSHOP

INSPECTION REPORT NUMBER*

DATE OF ISSUE*

CHECKOUT

VEHICLE INSPECTION (if you do not have your own pink slip)

TICK FOR CLUB TO ORGANISE REQUIRED VEHICLE INSPECTION$80

DECLARATION FORM*

SUPPLY A STAMPED SIGNED DEC$85

SUPPLY A COMPLETELY FILLED DEC$95

4 PAGE APPLICATION FORM (FIRST YEAR ONLY) Note: your vechicle inspector will need to sign the 3rd page on application form

Product*

I WILL GO TO SERVICES NSW AND PICK UP A FREE FORM$0

VEHICLE IS CURRENTLY REGISTERED WITH ANOTHER CLUB$0

SUPPLY ME A BLANK APPLICATION FORM$5

SUPPLY ME A FILLED OUT APPLICATION FORM$20

POSTAGE OPTIONS*

PICK UP Raby (Add in notes your paying cash on pick up)$0

STANDARD (At your own risk)$0

TRACKING$8

NOTES

Donation to help keep club active (optional)

$0

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