CHANGE OF CLUB DETAILS

Use this form to update the details of your ASRF-affiliated club. Details will be amended at both head office and on the ASRF website.

In submitting this form, you are confirming that you are authorised to do so on behalf of your club.

IMPORTANT - Please ensure that your club name is shown here exactly how it should appear in our listings, ie. Black Valley Street Rodders, Black Valley Rod and Custom Car Club Inc, etc.

CLUB NAME

CLUB POSTAL ADDRESS ( May be a PO Box or a private address. )

NEW CLUB POSTAL ADDRESS

Street Address

Street Address Line 2

City

Postal Code

State

Country

CLUB EMAIL ADDRESS

NEW CLUB EMAIL ADDRESS

CLUB WEBSITE ADDRESS

NEW CLUB WEBSITE ADDRESS

CLUB CONTACT #1( A club contact should be an office bearer or a trusted member.)

NEW CLUB CONTACT #1 NAME

First

Last

NEW CLUB CONTACT #1 PHONE

May be a landline or mobile

Phone Number

SPECIFY CONTACT HOURS

CLUB CONTACT #2 (If required) A club contact should be an office bearer

NEW CLUB CONTACT #2 NAME

First

Last

NEW CLUB CONTACT #2 PHONE

May be a landline or mobile

Phone Number

SPECIFY CONTACT HOURS

NAME OF PERSON COMPLETING THIS FORM

First Name

Last Name

ROLE OF PERSON COMPLETING THIS FORM

DECLARATION
I declare that the information shown is true and correct, and I have been authorised to make these updates.