ASRF Membership Application Form.

ASRF Membership Application (One membership only - no joint memberships)

To join, complete the application and forward it to the National Office with your cheque, money order or credit card details for $100.00.

Cheques made payable to Australian Street Rod Federation Inc.

Name : .........................................................................................
Address : ......................................................................................
.............................................................. Postcode : ......................
Date of Birth : ................................................................................
Are you a previous member? Yes / No Club (Name : ...............................) or Individual?
Occupation : ...................................................................................
Telephone 1 : .................................Telephone 2 : ...................................
Current ASRF Class vehicle : (make / year / model)
................................................................................................

Payment details
BANKCARD [........] VISA [ ........] MASTERCARD [........]
NUMBER [.....................] [...................] [...................] [...................]
EXPIRY DATE : ...... / ...... / ......

Signature : ..............................................................
Cardholders Name (print):.................................................

I wish to become an individual member of the Australian Street Rod Federation and agree to comply with the rules of the Federation at all times.

Enclosed is my membership fee (For Members of ASRF affiliated Clubs, please contact the National Office for a Pro Rata Amount)

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