ASKC Membership Form

ALICE SPRINGS KARTING CLUB INC

MEMBERSHIP FORM
For any enquiries please forward them to askartclub@outlook.com

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PRIMARY CONTACT DETAILS
Full Name

First NameLast Name
Mobile
Format: (000) 000-0000.
Email Address
example@example.com
Postal Address
I/We agree to abide by Alice Springs Karting Club Inc. Constitution and Code of Conduct
MEMBERSHIP/S
Please select Membership Type/s
DETAILS OF MEMBERS
MEMBER #1 - FULL NAME

First NameLast Name
D.O.B
01/01/2024
KART #
If applicable
MEMBER #2 - FULL NAME

First NameLast Name
D.O.B
01/01/2024
KART #
If applicable
MEMBER #3 - FULL NAME

First NameLast Name
D.O.B
01/01/2024
KART #
If applicable
MEMBER #4 - FULL NAME

First NameLast Name
D.O.B
01/01/2024
KART #
If applicable
MEMBER #5 - FULL NAME

First NameLast Name
D.O.B
01/01/2024
KART #
If applicable
MEMBER #6 - FULL NAME

First NameLast Name
D.O.B
01/01/2024
KART #
If applicable
NEW MEMBERS

Please complete this section for all new memberships, this is not required for renewal applications. Please list 2 names of current members for reference.
Member proposed by:
Full Name
Member seconded by:
Full Name
PAYMENT METHOD
My Products
prevnext( X )
ANNUAL TRACK MAINTENANCE FEE
*** Each licensed competitor is required to pay a once-off annual track maintenance fee. Please ensure you select the correct quantities per membership form. ***

$35.00 AUD Quantity



RACING JUNIOR
15 years or under

$35.00 AUD Quantity



RACING SENIOR
16 years or older

$65.00 AUD Quantity



RACING FAMILY
2 Juniors & 2 Seniors

$140.00 AUD Quantity



RACING JUNIOR W/ AFFILIATE FAMILY
2 Juniors & 2 non-racing affiliates

$100.00 AUD Quantity



AFFILIATE SINGLE
Non racing affiliates only

$30.00 AUD Quantity



Life Membership
Person/s awarded Life Membership by ASKC

Free Quantity



Total

$0.00 AUD
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

ALICE SPRINGS KARTING CLUB INC

PRIMARY CONTACT DETAILS

MEMBERSHIP/S

DETAILS OF MEMBERS

NEW MEMBERS

PAYMENT METHOD

My Products

Payment Methods