East Coast Racing Series

Membership Form

Memberships need to be paid in full before you can compete in any event of the East Coast Series.

Once you have filled in your details click on submit at the bottom of the page. You will receive a thank you if your membership form has been successful. If you don’t get that message scroll down the page to see what fields have been missed.

If paying by Electronic Funds Transfer please transfer membership payment before submitting this form as a receipt number is required.

Race Membership is $70 (Adult) per race season and $40 for Children (Under 17 years of age) or $150 Per Family (2 Adults & Children)

Pensioner $50

All memberships must be paid two weeks prior to the event.

Details

First Name *

Surname *

DOB *

Mobile No. *

Email *

No. *

Street *

Suburb

State * NSWQLDVICACTSANTWATAS

Post Code *

Membership Details

Name of Race Team *

Position on Team *

Membership Type * Adult $70Child $40Family $150Pensioner $50

Payment * Electronic PaymentBy Cheque

EFT Receipt number or Cheque Number *