Austin 7 Club Inc 2023 Online Renewal and Membership Application
Reg No. A0003290N   ABN 54794317145 
Membership 2023 New and Renewal with confirmation of existing membership details.
Sign in to Google to save your progress. Learn more
Email *
Form Preparation advice. 
 *
Ensure you have typed the email address correctly as the Invoice/Receipt will be sent to that address.

Prior to filling in the form. You  can pay by Online Secure Card payment using Debit or Mastercard/Visa or by Direct Deposit. (Cash or Cheque, please send to the Membership Secretary.)
You will need details of any Austin 7's you have. This is to update our historical records.
New Members, there is a joining fee of $35.   GST is included in the fees.
This part filled form will keep for 30 days. It can be cleared to re-fill until payment is submitted. Use the emailed link to resume.
A copy of this filled form will be emailed to you after it is submitted.  
IF YOU HAVE A CAR ON THE CLUB PERMIT SCHEME YOU MUST RENEW YOUR MEMBERSHIP BEFORE 31st DEC.2022 OR YOUR CAR MUST NOT BE DRIVEN AFTER 31st DEC. WE ARE REQUIRED TO REPORT TO VIC ROADS, UNFINANCIAL MEMBERS EARLY IN JAN 2023
Required
First Name *
Note: For the Observed Section Trial Passenger Associates. 
Please complete required sections then proceed to PRIVACY OPTION and FEES.
Last Name *
Membership No.
Member's Date of Birth
 *
MM
/
DD
/
YYYY
Street address *
Town/City *
Postcode *
State *
Required
Country if not Australia
Home Phone
Mobile Phone *
Or best alternative contact number.
Have you been a Member previously and when?
Working with Children Card No.  (if held)
Working with Children Card Expiry Date (if held)
MM
/
DD
/
YYYY
Emergency Contact Name:
(Optional)
Emergency Contact Phone No.
(Optional)
Partner's Name (if a social member only).
Who is not an Associate included in the below Family Subscription.
Family Subscription:- Partner's Name.
A Spouse Associate Member who is included in the Family Subscription
Partners Date of Birth
MM
/
DD
/
YYYY
1st Junior
Date of Birth 1st Junior
MM
/
DD
/
YYYY
2nd Junior
Date of Birth 2nd Junior
MM
/
DD
/
YYYY
3rd Junior
Date of Birth 3rd Junior
MM
/
DD
/
YYYY
PRIVACY OPTION: -  *
Select the boxes for Listing or Unlisted contact in the Club Membership book.
Required
Austin 7's and other Cars on our Club Permit
Austin 7's and other Cars currently listed on a Club Permit with the  Austin 7 Club Inc.  Fill in using this order Year / Model / Colour / Engine No./ Permit No. and Expiry date
Other unlisted Austin 7's
To assist our records, if possible can you please list Austin 7 Cars or complete projects you have that are not on the Austin 7 Club Inc permit. List by: Year / Model / Colour / Engine No.
Confirm your membership level and payment amount, tick one checkbox. *
Required
Printed Light Shaft fee *
Required
Payment method *
If paying Bank Direct Deposit. A confirmation invoice is emailed to you after submitting. The Membership Secretary will verify your payment from the Bank Statement using Ref. Name Member No.
Required
The next screen takes you to the Submit to record your answers.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms