2023-2024 Membership Form

For help using this form, please email rosedalespeedway@gmail.com

Please note that bank tranfer details will be shown once submitted.
Credit Card payments are unavailable at this time.

Select Membership Type:

Your First name:
Your Surname:
Your Date of Birth:
Mobile No.:
Email Address:

Please tick which of the below applies:

Please tick which of the below applies:

Postal Address:

Family Members (Please input names
and Date of Birth ):

If you are registering your car through Rosedale Speedway,
please enter car number(s) and class(es):
By submitting this form you herbey apply to become a member of Rosedale Speedway Association Inc and agree to observe the rules and regulations of Rosedale Speedway Association Inc, the Victorian Speedway Council and Speedway Australia. The committee reserves the right to decline or cancel any membership for breaches of the rules and regulations of the above bodies.

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ABN 84 491 847 231