Membership Application
About You
Full Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State
Post Code
Postal Address
Mobile No
*
Phone Number
Format: (00) 0000 0000.
E-mail address
*
Your Spouse / Partner (family memberships)
Full Name
First Name
Last Name
Mobile No
Phone Number
Format: (00) 0000 0000.
E-mail address
example@example.com
About Your Cars
Model
Please Select
900 Classic
900 NG (93-99)
9-3 OG (99-2003)
9-3 NG (2003-2012)
9-5
99
90
95
96
Other
Model year
Specification
Registration
Model
900 Classic
900 NG (93-99)
9-3 OG (99-2003)
9-3 NG (2003-2012)
9-5
99
90
95
96
Other
Model year
Specification
Registration
Model
900 Classic
900 NG (93-99)
9-3 OG (99-2003)
9-3 NG (2003-2012)
9-5
99
90
95
96
Other
Model year
Specification
Registration
Membership types
Membership type. Please pay the correct fee to the Club's account: BSB 032-289 Account: 590131
Individual - $75 pa ($40 between Jan and June)
Family - $100 pa ($55 between Jan & June)
Corporate - $100 pa ($55 between Jan & June)
Please tell us why you would like to join the club, or add any comments
*
Submit
Should be Empty: