SCMSC Membership Application Form

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Easy Steps To Become a Member of SCMSC1. Print this form2. Fill in the details3. Scan it4. Pay you $60 by Direct Deposit to the bank account listed5. Email the scanned Membership application form and payment remittance to scmsclub@gmail.com6. You're done. Welcome to SCMSC. We'll send you your membership card and stickers asap!

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MOTOR SPORT

S U N S H I N E C O A S T

CLUBINC.

Keep up to date and join our facebook group ‘Sunshine Coast Motor Sport Club Inc.’

Applicant Details:

Name DOB / /

Address

Suburb

Postcode Email

Phone

Membership Fee

All memberships $60 per annum. Pay by direct deposit only to the following bank account:

NABSunshine Coast Motor Sport Club Inc.BSB: 084855A/C: 846204971

Please email payment remittance with completed Membership Application Form to scmsclub@gmail.comYour membership is valid for 12 months from the date received.

Office Use Only

Membership #

Received by on / /

MEMBERSHIPAPPLICATION FORM

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