ASRF Junior Rodder Membership Form.

Complete and return to:

Australian Street Rod Federation Inc.
PO Box 2569
Burleigh BC QLD 4220

YES, I wish to join the Junior Rodder Club.

Please send me my membership card and sticker.

Surname : ......................................................................................
First Name : ...................................................................................
Address : ......................................................................................
................................................................................................
Postcode : .............
Telephone : (...............) ..................................................................
Date of Birth : ................................................................................
Favourite Rod : ................................................................................
Parents ASRF Membership Number : ............................................

OFFICE USE ONLY Date Received : .................................................
Membership Number : .............................................
Items Despatched : .............................................................................