Macedon Ranges And District Motor Club Inc. Application for Membership
Registered and Postal Address: PO Box 84, Gisborne, Victoria, 3437
Clubrooms Address: 10 Webb Crescent, New Gisborne, Victoria, 3438

I hereby apply for membership of the Macedon Ranges and District Motor Club Inc. and, if accepted, agree to make myself familiar with, and abide by the Constitution and Rules of the Club.
Please complete this ‘Application for Membership’ form and submit, to the Club’s Membership Officer, or any Committee Member, at the next Club meeting

Members must be financial to stand for election to a Committee position, or to be able to vote at elections.

If you intend to participate in the ‘Red Plate Scheme’, you must be a financial member by the 1st of July each year to remain in that scheme, regardless of when the registration of any vehicle is due or payable.
All information contained in this application is correct at time of printing. The Macedon Ranges and District Motor Club Inc. reserves the right to amend any information at their discretion.

Email address *
Surname *
Your answer
Name *
Your answer
Partners Name
Your answer
Home Address *
Your answer
Postcode *
Your answer
Date of Birth
MM
/
DD
Telephone (Mobile) *
Your answer
Telephone (Home)
Your answer
Telephone (Work)
Your answer
Postal Address
If different from home address
Your answer
Preferred Contact Method *
Membership Type *
A welcome letter with payment details will follow (A once off $80 joining fee is also applicable)
Details of Vehicles (Red Plate Scheme)
List only the vehicles you wish to place on the Red Plate Scheme please include Year / Make / Model / Color / Body Type / Registration Number (if it has one)
Your answer
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