Membership Form

Membership Application

* Indicates required field

Name *

First

Last

Date of Birth *

Email *

Phone Number *

Motorsport Australia Licence Number *

Racing Number *

Class *

Formula 1000 Radical SR3 2A/2C Prototype or 6SR

Membership Options *

Stakeholder Member - $150 General Member

Stakeholder- Members with a logbooked car or are racing in a 12-month period. Eligible for championship points, voting rights at an AGM or EGM.

General - For individuals who don't qualify as a Stakeholder member. Does not hold any privileges.

Please make payment to:
FSR Association of Australia Inc.
BSB: 066 167
Account Number: 1056 6506
Please be advised that no invoice will be generated unless advised.

By submitting this application, you apply to become a member of the FSR Association of Australia Inc. If accepted, you agree to be bound by the rules and regulations of the FSR Association of Australia Inc.

Submit

Payment Details

Please make payment to:
FSR Association of Australia Inc.
BSB: 066 167
Account Number: 1056 6506
Please be advised that no invoice will be generated unless advised.