Manly Warringah Sporting Car Club

NEW Member Application Form

Name:
Email:
Phone:
Address

RTA
Date of Birth
	Gender Male Female

Make of Car
Year / Model
Body Type
Capacity c.c
Class
Category

	Has the candidate's name been submitted for membership with any other club and subsequently declined or withdrawn ? Yes No
	Has the candidate previously been a member of this club ? Yes No
	Other motor sport clubs to which the candidate is a member :
	Membership Class Full Annual Membership - $55.00pa Subscription + $22.00 Joining Fee Family Membership - $66.00pa Subscription + $22.00 Joining Fee (Spouse + 2 x u16 Children - Each should complete Application)

		Shirt Size Full members receive a Club welcome pack which includes a Shirt : Medium Large X-Large
	Please check your agreement to the following:
	I wish to become a member of the Manly Warringah Sporting car Club and request you to enter my name on the register of members accordingly.
	In consideration of my election to membership, I agree to be bound by the memorandum and articles of association of the company and by any rules, regulations or by-laws of the company/club from time to time in force.
	On Receipt of a Tax Invoice for membership I agree to transfer the relevant fees in the manner prescribed and that my membership will not be determined until receipt of the same.