Membership Renewal/Sign Up Form

2024 Membership
Application / Renewal Form

Are you applying for Membership or renewing your Membership?

Please select one of the following options

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

Date of Birth

Please select your membership category

Membership period - 1 January 2024 to 31 December 2024

Additional Guest Passes

If you have selected Elite Membership you are able to purchase additional guest passes for $100 each

Donation to TRC Museum

100% of all donations will go directly to establishing the TRC Museum at Elwick Racecourse

Payment Type

AMEX cards are not accepted

Card Number

eg. 4444 5555 6666 7777

Card Expiry

eg. 01/28

CVC Number

3 numbers on the back of the card

If you are a new member signing up for the first time, how did you hear about Membership with the Tasmanian Racing Club?

If referred by a Current Member, please let us know the name of the Member who referred you