Club Registration Please fill in the details below and one of our Admin staff with reach out to you to discuss Club Registration. Name * First Name Last Name Address * This is the address listed for the vehicle up for Registration. As listed on the NSW Registration form. Address 1 Address 2 City State/Province Zip/Postal Code Country Mobile # * (###) ### #### Email * Membership Type? * New Members $40.00 per year Existing Membership $30 per year New Member $40.00 Existing Membership $30.00 Type of Registration? What type of club registration do you require? Historical Modified Joining the club to support the club. Which E-Series are you registering? * Year, Make, Model Modifications? Does the car have any modifications? If so list them here. (Please Note: You may require engineers certificate for registration) What are the current Registration plates? Provide the current Registration plates on the vehicle registered within New South Wales roads (Optional) Please note: This process will not guarentee your approval to join the club. Our committee will review your request and contact you to discuss the opportunity in joining Sydney E-Series Club Inc. Your details will not be shared with anybody and will only be used for the purpose of documenting your membership. * I understand. I decline. Payment * New Memberships $40.00 per year Existing Memberships $30.00 per year Please send payment to : BSB: 082342 Account number: 181646539 Name : Mr Dean Radonjic Reference: Your full name pls Payment Sent Would like to discuss before payment
