A.S.R.C.C MEMBERSHIP APPLICATION / RENEWAL FORM

  PRICES ARE FOR AUSTRALIA ONLY. CONTACT CLUB FOR INTERNATIONAL PRICE AND POSTAGE.

Membership Fees are:
Australia - Single Membership   $45.00
Australia - Family Membership   $55.00
Membership runs from January 1st to December 31st. (includes Club Lines Newsletter)

For new members, or rejoiners, after 30th June please contact the Membership Officer on membership@scalextricaustralia.com.
The Club reserves the right to refuse applications at its discretion.

Payment: Cheques and Money Orders made payable to “CLUB LINES”
Note: We cannot accept cheques/money orders made out to ASRCC.
OR
by direct transfer to:
Commonwealth Bank BSB: 062589 Account: 10186201.
Please reference payment with surname of applicant.

Please complete either the following application /renewal form and click Submit to send it electronically,

Membership

OR

Complete and submit the above online form and make payment of $45 or $55 to Club bank account listed above

OR

Using below, complete your details and send with cheque or money order payment of $45 or $55 to the address listed.

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Name: ...........................................................................................................
Address: ...........................................................................................................
...........................................................................................................
...........................................................................................................
E-Mail: ...........................................................................................................
Membership Number: .......................................................
Telephone (home): .......................................................
(mobile): .......................................................
(work): .......................................................

 

POST TO:

The Secretary
PO Box 577,
Wentworthville
NSW.
2145 Australia