MEMBERSHIP APPLICATION FORM
www.groupc.org.au
GROUP C TOURING CAR ASSOCIATION LIMITED

    

APPLICANT DETAILS

Full Name of Applicant:

Address:

Suburb: Postcode:

Occupation:               

D.O.B:

Home Ph:

 Work Ph: Mobile Ph:

Fax:

 Email:

Being over the age of 18 years, desire to become a member of the Group C Touring Car Association Limited.
In the event of my admission as a member, I agree to be bound by your model rules of the Association and any rules,
Regulations and By-Laws of the Association that may be added from time to time in force.

SIGNATURE OF APPLICANT:                                                                                        DATE:        /       /
NOTE: FEES FOR CURRENT YEAR 2008 ARE $65 inc. GST

PROPOSER: ................................................         SIGNATURE: ....................................................
This person is known to me personally        I believe from my enquiries to be eligible for membership of the Association.  

SECONDER: ................................................         SIGNATURE: ....................................................                                                     
 This person is known to me personally        I believe from my enquiries to be eligible for membership of the Association.  

 

CAR DETAILS: 

MAKE: 

 MODEL: YEAR:

CONDITION: 

GROUP”C” OR GROUP “A” LOG BOOK No.

PREVIOUS OWNERS (1)                                                           (2)                                                                 (3)                                                                            
If more than 1 car is owned please provide details on separate sheet and attach to this application together with a photo of the car for Associations records.  

 

Office Use Only:
APPROVAL:        SIGNATURE:                                                         SIGNATURE:                                                        

Please POST to:  

The Secretary

Group C Touring Car Association

PO BOX 25, ERMINGTON, NSW. 1700

WWW.GROUPC.ORG.AU