Sign up for the BIG benefits of full
Victorian Drag Boat Club Membership


General Details - Membership Renewal

To enjoy the BIG benefits of full VDBC Membership, fill in your details below:

(The VDBC will use the details below exclusively for the purposes of club membership)

Name:
Street Address:
Town / Suburb:
State / Province:
Postcode:
   
AH Telephone:
Mobile Telephone:
E-Mail Address:
   
Date of Birth:
Occupation:
   
Partner's Name:
DOB:
1st Child's Name:
DOB:
2nd Child's Name:
DOB:
3rd Child's Name:
DOB:
   
Are you the owner of a Drag Racing Boat?
Boat Name:
Are you the driver of a Drag Racing Boat?
Boat Name:
 
Are you prepared to help out on race day?
Rescue:
Race Control:
Technical Inspection:
Pit Control:
Timing:
Merchandise:
 

I, the above named, would hereby like to apply as a full financial member of the Victorian Drag Boat Club Incorporated, and request that my name be registered as of the below listed date.

Accordingly, I agree to be bound by the VDBC Memorandum and Articles of Association and the rules and by-laws made there under.
Date:
I agree and understand that this electronic signing is binding.
 
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