Membership Form

This is the On Line Membership form. To print out a Membership form, click HERE.

Fill in the details on the Membership Form and SUBMIT them to the Treasurer. You can pay membership fees for CHRA and/or ASRF on the one form. ASRF Membership is NOT compulsory, but recommended. The CHRA is a charter club of the ASRF.

The RED text is mandatory.

Last Name:
First Name:
Preferred Name:
Address:
Street:
City/Suburb:
State:		Postcode:
Phone:	(H)	(M)
Email
You can pay membership fees via Internet Banking, over the counter at any ANZ Bank or pay the Treasurer at meetings.BSB: 082-923 Acc No: 48-033-2425 Acc Name: Canberra Hot Rod Association (Use your Surname in the transaction)
How are you paying your fees? On Line: Over the Counter: Meeting:
Membership Fees: (indicate which fees you are paying)	ASRF: $88	CHRA: $10
ASRF Membership:	Number: Club/Individual: Are you a new ASRF Member? Yes: No:
Preferred Method to receive Newsletter: Email: Snail Mail:
Car Details:	Year, Make, Model, Engine, etc