2025-2026 Austin A40 Car Club Membership Form

Austin A40 Car Club of Australia Inc

2025 / 2026 Membership Form
All Club Memberships expire June 30 each year and consequently must be renewed by existing members. Therefore, we ask you to please complete all the following information and submit this form.

Once you have submitted the form you will also need to pay your membership via Bank transfer (EFT)

As of this year bank transfer is the only method of payment that will be accepted from your membership fee.

Please make payment to the following account.

Please ensure you use your Full Name as the reference when submitting your Bank Transfer.

Account Name: Austin A40 Car Club of Australia

BSB: 633 000

Account No: 133 199 471

MEMBERSHIP WILL NOT BE ACTIVE UNTIL PAYMENT IS RECIEVED

Questions about membership please contact Helen Berry

Email: Helen Berry acarclub40@gmail.com

PH: 03 5469 1239
Membership Type and Fee
Indicate which fees applies to you*

Membership Renewal 2025/26 = $60New Full Membership joining fee ($10) & Annual Subscription Fee ($60) = $70Joining after 1 December - Membership joining fee ($10) & Half year subscription ($30) = $40
Personal Details

Please Note: A Full Member of the A40 Club may nominate a spouse or partner at no additional cost who, as an Associate Member, is welcome to enjoy the benefit of the Club and may participate in Club activities but will not normally have voting rights unless they become an ordinary full member upon payment of a Full Membership Subscription
Full Member Name:*

First NameLast Name
Email
example@example.com
Full Member Phone number*
Please enter a valid phone number.
Spouse / Partner Name:

First NameLast Name
Spouse / Partner Phone Number:
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Participants (e.g. children)
Membership List

From time to time, a current membership list will be circulated between all club members. This membership list will include members & partners names addresses and phone numbers. Please indicate if you would like to be included. If you choose not be be included your details will remain confidential.
Do you want your details included in the membership list*

YesNo
Please advise here of any Club Permit Registration Vehicles with the Austin A40 Club that you have disposed of since your last membership renewal.
Agreement

I agree to abide by the rules of the above Club and absolve the said Club of any liability whilst participating in any Club activity.
Name*

First NameLast Name
Date*

DayMonthYear
Date
Should be Empty:

Austin A40 Car Club of Australia Inc

Membership Type and Fee

Personal Details

Membership List

Agreement