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I the undersigned declare that I have read and understood the

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I the undersigned declare that I have read and understood the Powered By Docstoc
					I the undersigned declare that I have read and
understood the current ACT RTA Historic Vehicle Policy
in conjunction with the “Club VeeDub Sydney Inc.
(Canberra Chapter) Historic Concessional Registration
Scheme Rules and Regulations; Monday, 22 September
2008”. I understand that if I do not abide by the rules of
the ACT RTA that the ACT RTA may revoke my HCRS
registration. I also understand that if I do not abide by
the HCRS rules of the Club VeeDub Sydney Inc.
(Canberra Chapter) I may loose my eligibility to register
my vehicle as a member of Club VeeDub Sydney Inc.
(Canberra Chapter).

Date:           /   /   .

Name:                                                   .

Address:                                            .

Telephone:                   Mobile:                .

Email:                                              .

Plate Number:                                       .

Vehicle:                     Odometer:              .

Colour:                                             .


                            Signature:              .

                            Witness:                .

				
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posted:2/15/2011
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