Application for Membership
RallySport Club of SA Inc

Day Membership
Personal Details
Last Name
Given Names
Residential Address



Post Code

Mailing Address


Post Code
Phone Number
Home
Work
Mobile
Date of Birth
Occupation
Applicants Email
Next of Kin (for emergencies)
Next of Kin (for emergencies)
Contact Phone
Event Details:
Which event will you be using this day membership for?
What Date do you want this membership valid for?

 

Please note that day membership is only for the day you have stated. If it is a multi day event, we suggest joining the club with an annual single membership.

You day membership fee can be deducted from an annual membership fee if you upgrade your membership within 30 days.

Day Membership costs $10.00.
A $2.00 processing fee is applied to fees paid online.
Total $12.00

I agree to abide by the rules set out in the Constitution of the Rallysport Club of SA and any by-laws as set out by the committee from time to time.

Signed applicant
Date