BUS

AND COACH SOCIETY OF VICTORIA INC.

A0006261D Preserving Australias bus and coach heritage ABN 86 829 759 481

PO Box 33 Caulfield East VIC 3145 President: Mick Kane (03)95848814 Secretary: Paul Kennelly (03)95091593 Email: bcsv@y7mail.com

ANNUAL SUBSCRIPTION FOR THE YEAR 1/7/13 TO 30/6/14

Name. Address ..Postcode.. Email AddressTelephone. Membership and subscription to Australian Bus Panorama (7 issues) $60.00 Pensioner (or Commonwealth Health Card holder) and U18 membership $45.00 Plus optional BCSV Name Badge $7.00 Please PRINT your first and last name as you would like it to appear on the badge .. Total Amount payable $.......... Signed..Date..... Please choose your payment method (please tick one box) Cheque or Money Order payable to Bus and Coach Society of Victoria Inc Direct Bank transfer to BSB 063 159: Account Number 1002 4243 In either case, please return your completed form to the BCSV at: PO Box 33, Caulfield East, VIC, 3145 Businesses, please copy your completed form and use it as your Tax Invoice. A separate receipt will be sent to all renewing members.