Membership

You can join HSCCQ using the online membership form below or printing out the following form and filling out the appropriate details:


 

Online Membership Form

Membership Type

(Available Membership Types)

First Name

Last Name

E-mail Address

Home Phone

Mobile

Address

Suburb

State

Postcode

Gender

Date Of Birth

Vehicle Make/Model

Vehicle Rego/Nickname


 
I wish to compete in CAMS events


 

 

Emergency Contact

Contact Name

Contact Number


 

Payment Method