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Membership Application/Renewal Form

- OR -

Gasworks Motorsport Inc Membership Application Form

Are you a new or renewing member?
New
Renewal
Membership Type
ADD Gasworks Vintage Speedway Club Membership (only needed if you are a driver or pit crew for GWVSC)

About You

Title
Birthday
Day
Month
Year

Areas of Interest

Select all which apply

Historic Plates


Do you wish to register Historic Plates with Gasworks Motorsport Club?

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.

Benefits of joining Gasworks Motorsport Inc

Membership of Gasworks Motorsport Inc provides access to all GWM activities including:
 

  • Gasworks Car Club

  • Illabo Motorsport Park

  • Gasworks Speedway Karts

  • Gasworks Vintage Speedway Club

Membership Types

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)
Gasworks Vintage Speedway Club: PLUS $20.00 per year (or $60 for 3 Years) to above fees (only needed if you are a driver or pit crew for GWVSC)

Payment may be made by Direct Deposit or Cheque; OR Cash and EFTPOS can be accepted at meetings.


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 to meeting
     

  • If paying by EFTPOS: Available at meetings

    Please print a copy of the completed application form and bring along to meeting

Join Gasworks Motorsport Inc

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