membership 2010

							                                                          Pegasus Bay Drag Racing Club Inc.

                                                                               Est. 1969.

P.O.Box 1573                                                                                                     pbdrc.dragracing@xtra.co.nz

Christchurch                                                                                                      www.pbdrc.co.nz

Powerbuilt Drag way                                                                                               Phone 03 349 4991

Ruapuna Park.

Membership Application Form 2010-2011 Season.
Name......................................................................................................................................................................

Address....................................................................................................................................................................

.........................................................................................City..................................................................................

Phone............................................ Cell.................................email............................................................................

Occupation................................................................................................................................................................

Other motorsport club or associations memberships held........................................................................................

All applicants are subject to the rules and conditions set by PBDRC Inc.

Membership expires one day after A.G.M 2011.

Life Membership (no charge) Please fill this form for updated club info.

Annual Subscription Fee $80.00 (1 Season Pass)                                                     Number required...........................................

Gate pass (no voting Rights) $40.00 (1 per Full Sub)                                               Number required.............................................

Sponsor passes (no voting rights) $40.00                                                           Number required....................................

Comp Team 1 full membership +4 Gate passes $200.00 Number required.......................................

Junior Membership Under 12 yrs (no voting rights) Free Number required......................................

PBDRC bank Acc No: 03 0855 0404908 00                                                              Total fee due (inc GST).................................

Applicants signature............................................................................Date...................................

Membership number.................Members racer number...........................NZDRA Class.................

PBDRC Inc issuing official signature..................................................Date......................................