Gasworks Motorsport Inc Membership Application Form

Join Gasworks Motorsport Inc
Join Gasworks Motorsport Inc
To join Gasworks Motorsport Inc, please complete the Application Form below (or download the form to print out).

Membership Fees

There are three memberships
Single: $30.00 per year (or $90 for 3 years)
Junior: $25.00 per year for ages 6yr–16yrs (or $75 for 3 years)
Family: $40.00 per year (or $120 for 3 Years)
For details about payment options, please check at the end of form

Gasworks Motorsports Inc Membership Application

    ALL fields are required, unless otherwise stated

    About You

    Areas of Interest

    Your membership allows you to access all four Gasworks activities. Please let us know which areas particularly interest you

    Historic Plates

    Additional Comments

    Acknowledgement

    By submitting this form, I, the person named above;

    • apply for membership to Gasworks Motorsport Inc
    • I understand and accept the "Objectives of the Club" and agree to abide by the Constitution Rules governing the Club.
    • I give permission to place my name and contact details on a list that will be circulated among executive committee members of Gasworks Motorsport Inc only.

     

    Payment Options

    • If paying by Direct Deposit:
      Bank: Westpac
      BSB: 032769
      Account Number: 611683
      Reference: Please list your “SURNAME FIRSTNAME Membership”
       
    • If paying by cheque:
      Make payable to Gasworks Motorsport Inc
      Write “Membership application for SURNAME FIRSTNAME” on rear of cheque
      Send cheque (and printout of completed application form) to
      The Secretary
      Gasworks Motorsport Inc
      PO Box 367
      Junee NSW 2663
       
    • If paying by cash:
      Cash is only accepted at meetings — DO NOT SEND CASH VIA MAIL!
      Please print a copy of the completed application form and bring along