Racing Member

Application Fee

$55.00

Membership Type*

Title*

First Name*

Last Name*

Gender

Date of Birth*

Address*

Address (line 2)

Suburb*

State

Postcode*

Email Address*

Phone Number

Mobile Number*

Occupation

Not Rejected*I have never had an application for membership of any Club rejected.

You must complete the offline paper application if your membership of another Club has previously been rejected.

Declaration*I confirm that I am over 18 years of age and that the above details are accurate and true.

Permit your card to be charged automatically for future renewals.

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