Become a Member WDCC

New Member Registration Form

Primary Member - Name *

First nameLast name
Primary Member - Date of Birth *
Primary Member - Email *
Primary Member - Mobile Number *
Address *

Address

Street Address 2

City State

Country Postcode
Motorsport Australia License Number (if held)
Junior Member #1 - Name Junior Members must be under the age of 18 and living at the same address as the Primary Member

First nameLast name
Junior Member #1 - Date of Birth
Junior Member #2 - Name

First nameLast name
Junior Member #2 - Date of Birth
Additional Junior Members If more than two junior members, please list First and Last names as well as Date of Birth in the box below.
How did you find out about WDCC?
Why do you want to join WDCC?
Select the motoring activities you're interested in. *
- 4WDing
- Racing
- Sprinting (Circuit)
- Show n' Shine
- Hillclimbs
- Rallying
- Social Events
- Women in Motorsport
Membership Length *
- One Year
- Two Years
- Three Years
Membership Type *
- Single $50 / $100 for two years / $150 for three years
- Family $70 / $140 for two years / $210 for three years (includes Juniors)
- Junior $20 / $40 for two years / $60 for three years
Terms and Conditions *
- I agree to be bound by the Constitution of the Club and to make a payment transfer to the bank account below immediately upon application for membership.
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