Super Sedan Membership Form Applicant InformationMember Name* First Last Postal Address* Street Address Address Line 2 City State Post Code Mobile*Alt. Ph NumberEmail* Membership Requirements PLEASE NOTE: All Competitors, Car Owners must be Full MembersMembership*Ordinary - $88.00Car – no feeAssociate - $55.00EFT – CARD (VISA & MASTERCARD) – BPAY Upon Membership Form being received an invoice will be sent by email for payment. Payment by card or BPAY will incur a $2 charge. Please allow 3 days for processing and if you do not receive an invoice please contact the Association ASAP. Keep an eye on your clutter/junk/spam inbox, it could be there. Bank Details – Prize Money (Please complete if your details have changed from 2018/19) Account NameBSB NoAccount NoDeclaration:*In submitting this application for Membership, I agree to abide by the rules, regulations and by-laws of the Super Sedan Association including the Code of Conduct. I hereby declare that all information contained on this application is accurate and that no attempt has been made to mislead the Association. I understand and accept that the management committee can cancel my membership for any reason in accordance with the constitution and by-laws of the Association. In submitting this application and the payment of the relevant fee/s, I give undertaking to refrain from engaging in any action, behavior or activity that is contrary to the best interests of the Association. I Agree Membership Application FormMake & Type of CarCar No. with PrefixTransponder NoSpeedway Licence NoLog Book NoShirt Size*XSSMLXL2XL3XL4XL5XLPlease attach a picture of your car to be included in the Series PosterAccepted file types: jpg, png, gif.PLEASE NOTE: All information above is for referencing only, will not be used for any other purpose and will be kept on file with your MembershipATO Reporting RequirementsSelect an Option*OPTION 1 - A Tax Invoice must be supplied PRIOR to any payment being authorised or processed.OPTION 2 - Declaration: My primary source of income is another field of work. Therefore, my racing activities with the Super Sedan Association Inc. can be described as a hobby.Select all that apply* I have /or I have applied for an ABN I am GST registered I am NOT GST registered ABN*ABN Business/Individual Name*CommentsThis field is for validation purposes and should be left unchanged.