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Upon submission, an application form with the information submitted will be emailed to you.
Kindly attach your photo and payment, sign and return to address stated on the form.

N.B. Entrance fee $250.00, Annual Subscription $120.00 pro-rated for those joining after January to $10.00 a month for the number of remaining months in that calendar year.
 
Personal Particulars
*First Name:
*as appears in the NRIC or Passport
*Last Name:
*as appears in the NRIC or Passport
Gender: Male
Female
Blood Group:
Date of Birth:
* Postal Code:
* Nationality:
* NRIC/Passport No.:
* Occupation:
* Correspondence Address:
* Contact Nos.: (Home)
  (Cellphone)
  (Office)
  (Fax)
* Email:
  Own a Porsche
Have use of a corporate Porsche permanently under my disposal
Neither of the foregoing
Porsche Model:
Porsche
Registration No.:

Registered owner
of the car:

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2010 Membership Renewal & Club Shirt
Saturday 9th January 2010

See you at Porsche Centre Singapore, 29 Leng Kee Road from 3 to 5pm on Saturday 9th January 2010.

Thereafter, please contact membership@porscheclub.org.sg
for membership renewal & shirt collection.

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