New Member Application

Applicant Details

Residential Address

Postal Address

Same as Residential Address

Nominated Member Details

The applicant may nominate another person (over 18 years of age) to become a full member of the Range Rover Club NSW (e.g. spouse, partner)

Activity Preferences

Driver Training

Day Trips

W/E Camping Trips

Week + Camping Trips

Social Events

Membership Vehicle Details

(Please only list the vehicle you will be using on Range Rover Club trips)

Vehicle *

Model *

Additional Land Rover Vehicles

Rego *

Colour *

Year *

Diesel

Petrol

Hybrid

Electric

Petrol / LPG

Would you prefer a soft copy of Marque

Tick if you would prefer your copy of Marque emailed rather than posted

How did you hear about the Range Rover Club

Previous member re-joining

Club website

Other member

Show or event

Dealer

Previous 4WD Experience

New to 4wd driving, not been off-road

Limited experience in off-road driving

Have reasonable experience off-road

Very experienced driving off-road

Payment Information

EFT

Credit Card

Total to Pay: $

Joining Fee plus Annual Membership Fee inc GST

Annual Membership fee is prorated from the month of application – use table below for correct amount

Joining Free	Membership Fee	Total to pay	Month
121	160	281	Jul
121	147	268	Aug
121	134	255	Sep
121	121	242	Oct
121	108	229	Nov
121	95	216	Dec
121	82	203	Jan
121	69	190	Feb
121	56	177	Mar
121	43	164	Apr
121	30	151	May
121	17	138	Jun

Credit Card Number *

Expiry Date *

CVC *

Amount

$

Name on card *

I, the above applicant, apply to become a member of the Range Rover Club NSW Limited and agree to be bound by the Memorandum and Articles of Association of the Company together with such By-Laws as shall apply from time-to-time. *

Joining Free	Membership Fee	Total to pay	Month
121	160	281	Jul
121	147	268	Aug
121	134	255	Sep
121	121	242	Oct
121	108	229	Nov
121	95	216	Dec
121	82	203	Jan
121	69	190	Feb
121	56	177	Mar
121	43	164	Apr
121	30	151	May
121	17	138	Jun

Joining Free	Membership Fee	Total to pay	Month
121	160	281	Jul
121	147	268	Aug
121	134	255	Sep
121	121	242	Oct
121	108	229	Nov
121	95	216	Dec
121	82	203	Jan
121	69	190	Feb
121	56	177	Mar
121	43	164	Apr
121	30	151	May
121	17	138	Jun

Joining Free	Membership Fee	Total to pay	Month
121	160	281	Jul
121	147	268	Aug
121	134	255	Sep
121	121	242	Oct
121	108	229	Nov
121	95	216	Dec
121	82	203	Jan
121	69	190	Feb
121	56	177	Mar
121	43	164	Apr
121	30	151	May
121	17	138	Jun