Murray Bridge Sporting Car Club and Motorcycle Club Inc.

First Name

Surname

Date of Birth

I am

Renewing my Membership (If renewing membership please add membership number below and select box below that)
Applying to become a Member (Select your type of membership below and complete your personal contact details)

Current / Previous Membership Number (If renewing)

Type of Membership

Full Member (Full Membership Details: Cost $80 - Able to vote at AGM - Able to hold a Speedway Licence - Receive Club Newsletters & Information)
Associate Member (Associate Membership Details: Cost $40 - Must be associated with a Full Membership - Recive Club Newsletter & Information - No voting rights - Unable to hold Speedway Licence)
Junior Member U18 (Junior Membership Details: Cost $25 - Able to hold Junior Speedway Licence - Able to vote on class matters only - Receive Club Newsletters & Information)

Street Number

Street / Road Name

PO Box Number (if applicable)

Suburb

Post Code

State

South Australia
Victoria
New South Wales
Tasmania
Western Australia
Queensland
Northern Territory

Contact Mobile Phone Number (Required)

Contact Email Address (Required)

As we are a not-for profit volunteer run club any assistance from members is always gratefully received. If you have any skills or even just a little spare time you would be willing to assist the club with please put a couple of details below. Thank you!

User Agreement

As a member of this club, I/we hereby agree to adhere to the Rules and Constitution of the Murray Bridge Sporting Car Club and Motor Cycle Club Incorporated.
In becoming a member of the Murray Bridge Sporting Car Club and Motor Cycle Club Incorporated (MBSCC & MCC Inc), I acknowledge that I have provided the MBSCC & MCC Inc with my personal information. I hereby authorize the MBSCC & MCC Inc to share my personal details with other sporting organisations involved in similar sports provided that the manner of sharing and collecting such information is made in support of Australian Privacy Principles as set out in the Privacy Act 1988 (cth) as amended.