APPLICATION FOR MEMBERSHIP

Revised: 19 June 2023 — Complete all fields below and submit. An administrator will process your application.

Personal Details

Surname *

Title

ID Number *

Call Name (Nickname)

Forenames *

Contact Details

Cell Phone *

Landline

Spouse Cell

E-mail Address *

Postal Address

Postal Code

Home Address

Home Postal Code

Business / Employer

Occupation

Spouse Details

Spouse Name

Spouse ID Number

Spouse Membership

Yes No

Spouse E-mail

Cars Owned

Complete for each vehicle. Condition: C = Concourse, O = Original, VG = Very Good, G = Good, F = Fair, UR = Under Restoration, AR = Awaiting Restoration, S = Scrap.

Make	Model	Year	Colour	SAVVA Date / No.	Condition

Membership Category & Fees

Notes:
1. Financial year: 1 July to 30 June of the following year.
2. Subscription fees payable annually in advance.
3. If joining during the financial year, pro-rata fees apply: Junior R8/month • Town R40/month • Country R30/month • Spouse: R60 (July–Jan) / R30 (Feb–Jun).
4. A Country member lives beyond 50 km radius of Port Elizabeth.
5. A Junior member is under 30 years of age.

Age of Applicant	Town Member	Spouse of Member	Country Member
Under 30 – Junior	R 100.00	R 100.00	R 100.00
Over 30 – Senior	R 500.00	R 100.00	R 380.00

Age Category

Under 30 – Junior Over 30 – Senior

Member Location Type

Town Member Spouse of Member Country Member

Other Car Club Membership

Are you a member of another Car Club?

Yes No

If yes, name of Club

Introducers & Proposers

Introduced by an existing EPVCC member. Applicants under 16 require a guardian's name.

Introduced By (EPVCC Member Name)

Guardian Name (if under 16)

Proposed By

Seconded By

Proposer Signature

Seconder Signature

Online Account Password

Password *

Declaration

I apply for membership of the Eastern Province Veteran Car Club. Should I be accepted, I agree to be bound by the Constitution, Rules and Regulations of the Club.

I consent to the processing of my personal information in accordance with POPI Act requirements.

Member Signature

Applications can also be emailed to membership@epvcc.co.za or dropped off at the EPVCC Club House on a Friday evening at Conyngham Street, Glendinningvale (off Cape Road), Port Elizabeth.

Already have an account?

Need Help?

Questions about your application? Contact the Membership portfolio at membership@epvcc.co.za and a committee member will gladly assist.

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APPLICATION FOR MEMBERSHIP

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