Membership Form

Name: Membership Form
SKU: 1568
Availability: InStock

Price range: $0.00 through $110.00

Membership Type

Clear

Full Name *

Date of Birth *

Address: *

Email *

(Please note: Communication by email is the predominant method of communication with members)

Emergency Contact Name *

Emergency Mobile Number *

Motorsport Australia Licence Number *

Pit Crew

Main Sponsor

Competition Number *

Requested Competition Number (NEW MEMBERS ONLY)

Car Details (Make & Model) *

Class *

1200cc

1600cc

Log Book No: *

Garage *

Own enclosed garage?

Need a garage (garage fee payable to WASCC for each round)

Garage Number Request

Please specify any other concerns that may determine your garage location. Garage 1-16 are on the inside and 17-26 are on the track side of the pits. FVAWA will do our best to accommodate everyone's needs but can not meet all. Garage allocations are determined by number of years within the Club and then first in Bases. (payment is paid per entry to WASCC) Also note that your allocated garage is not guaranteed for the whole season as there will be times where shuffling of garages are needed to accommodate everyone.

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Membership Form

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