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.

Membership Fees

  • Individual ($30)
  • Individual — 3 Years ($90)
  • Family ($40)
  • Family — 3 Years ($120)

For details about payment options, please check at the end of form

Gasworks Motorsports Inc Membership Application

ALL fields are required, unless otherwise stated


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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 off 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