First Name

Last Name

Phone No

Email Address

Full Address (please include Postcode)

Occupation

Date of Birth

Areas of Interest Please indicate your primary areas of interest in the Sporting Car Club by selecting any of the following: Areas of Interest Please indicate your primary areas of interest in the Sporting Car Club by selecting any of the following: *HillclimbConcoursClassic CarsCircuit RacingVintage & VeteranShow CarsRallyStreet CarsDrive DaysSocial TouringModern CarsEventsOther

Wheelspin Magazine Wheelspin Magazine We welcome new members by listing their name and cars ONLY in our Wheelspin Magazine, however if you would rather not, please check this box.

The club relies heavily on the generous work of volunteers. Our volunteers get the opportunity to socialise with like-minded people and help out a not for profit organisation. If you are interested in becoming a volunteer? please indicate which area(s) below. The club relies heavily on the generous work of volunteers. Our volunteers get the opportunity to socialise with like-minded people and help out a not for profit organisation. If you are interested in becoming a volunteer? please indicate which area(s) below. Motorsports Events Gardening & Maintenance Library None

Family Membership Only ( please List Full names of Childern & Date of Birth )

Vehicle Make & Model

Vehicle Year & Colour

Vehicle Rego Number

Additional Vehicles ( if you have more than one vehicle please list them and include make, model, year, colour & Rego for each )

Agree Agree I / We Agree to the Terms & Conditions of the Sporting Car Club SA