Wanganui Stockcar & Speedway Club Inc.

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2021/2022 Membership Application

Please ensure you complete all sections clearly and in full. Incomplete applications will not be accepted.
All applications are subject to approval by the Committee.
Membership is required prior to holding an SNZ Competitor Licence and for competitors, will be collected at the time of getting your SNZ Licence.
Members are expected to attend the WSSC AGM held in June 2022.

Email *

Name (First, Last) *

Address *

Phone number *

Next of Kin *

Next of Kin Contact Number *

Membership

Social Membership - allows entry to the Clubrooms. You do not have voting rights at the AGM.

Membership *

Social Membership $30

Payment Method *

Cash

Full Payment - Direct Debit - Please use name and car number as reference - Westpac - Wanganui Stockcar & Speedway Club 03-0791-0434154-00

Membership Signature (P- My digital signature acknowledges that 1) as a member I/we do not object to random Drug Testing and 2) as a member I/we will adhere to the Rules and Regulations as outlined in the Wanganui Stockcar & Speedway Club Incorporated Constitution. You will be asked to sign this form on receipt of your membership card. *

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