Applicant Details
Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Partner's Name
First Name
Last Name
Name(s) of Children
Other
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GMH Vehicle Details
GMH Model (e.g. VL)
GMH Build Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Engine Number
Chassis Number
V.I.N
Registration Number
Registration State
Colour
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HDT Vehicle Details
HDT Model (e.g. Group A)
Build Number
HDT Build Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Original Selling Dealer
Original Selling Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Previous Owner
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Vehicle Verification
HDT Build Papers or HDT Certificate of Authenticity
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Vehicle Inspection by Club Committee Member
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Photos of vehicle and GMH & HDT Build Plates (Country Members Only)
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Type a question
*
I hereby apply for ordinary membership of the HDT Owners Club of NSW and acknowledge that all details that I have supplied are true and correct.
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