MEMBERSHIP Please enable JavaScript in your browser to complete this form.FIRST NAME: *First NameSURNAME: *Family NameNUMBER & STREET NAME: *Number, Street Name, SuburbSUBURB: *STATE / TERRITORY: *--- Select Choice ---South AustraliaVictoriaNew South WalesQueenslandWestern AustraliaAustralian Capital TerritoryNorthern TerritoryPOST CODE: *TELEPHONE NO: *Mobile or other.EMAIL: *MAKE AND MODEL OF CAR: *PREFERRED CAR NUMBER: *(IF ANY)MOTORSPORT AUSTRALIA LICENCE: *LOG BOOK: Y/NYesNoSUPPLEMENTARY REGULATIONS AVAILABLE ON OUR WEB SITEÂ https://mscasa.com MSCASA MEMBERSHIP: $ 25.00 *Yearly FeeMSCA CLOTH BADGES: $ 6.00WINDSCREEN STICKERS: $ 2.00ACCOUNT NAME: Marque Sports Car Association of South Australia Inc. PAYMENT BY DIRECT CREDIT: BSB: 085 005 ACCOUNT NUMBER CHANGED: ACC: 98 384 8140 REF: Name & description Send payment confirmation to: mscasasecretary@gmail.com PLEASE NOTE: Payment for items listed here must be be made separately from Entry and Garage Hire payments. SELECT CAR CLUB FROM DROPDOWN LIST BELOW: *--- Select Choice ---Alfa Romeo Owners Club SABMW Owners Club SABolwell Car Club SAFiat Lancia Owners Club SAFord Rallye Sport OwnersHonda Car Club SAMazda MX5 Club SAMG Car Club SAModified Mini Car Club SANissan Datsun Car Club SASporting Car Club SASprite Car Club SATriumph Sports Owners Assoc SAVolvo Car Club SACAR CLUB BEING AFFILIATED MEMBER OF THE MARQUE SPORTS CAR ASSOCIATION OF STH AUST INC.Image of current club financial membership card or other proof of membership. * Drag & Drop Files, Choose Files to Upload Please drop and drop a file/image of your current financial car club membership card or other proof here. Not your MSCASA membership card.CAR CLUB MEMBERSHIP NUMBER: *CAR CLUB MEMBERSHIP EXPIRY DATE: * MODEL EXPIRY MOTORSPORT I HEREBY MAKE APPLICATION FOR MEMBERSHIP TO JOIN THE MARQUE SPORTS CAR ASSOCIATION OF S.A. INC. By either using the 'Signature by Drawing' or the 'Signature by Typing' boxes. By signing, you confirm that the information provided is correct and you agree to the event terms and conditions. DATE:Signature by Drawing: Clear Signature Use mouse/stylus/touch screen to Sign, to confirm the information provided is correct and you agree to the event terms and conditions.Signature by Typing: Clear Signature Use keyboard to type your signature, to confirm the information provided is correct and you agree to the event terms and conditions.Submit