The Chairman's Club Membership Application Form

Membership Form – 2024/25 Racing Season

Member Details

Member's Name *

Member's Spouse/Partner Name (For invitation purposes)

Member's Email *

Company Name *

Company ABN *

Date of birth *

e.g (DD/MM/YYYY)

Daily Contact/Daily Contact Email *

Daily Contact Number *

Contact Details

Postal Address *

Postcode *

Courier Address *

Postcode *

Business Telephone Number *

Member's Telephone Number *

Recipient of Complimentary VRC Membership *

Authorisation *

I authorise the Daily contact / Personal Assistant to make bookings on the Member’s behalf *

Membership Options

Membership Option

Payment due prior to Friday 19 July 2024. If Payment is not received by this date, you will not be guaranteed a Membership for the 2024/25 season.

Membership Options *

SIX SEATS $60,000 | INC GST SIX SEATS FOR THREE YEARS $180,000 | INC GST OTHER

Please select a Membership Option from the list provided

If other, please note the number of seats required

Method of Payment

Payment options *

Please send me a Tax Invoice payment payable by Friday 19 July 2024 Credit Card Payment

Please note, if you select Credit Card payment method, you will be emailed by VRC to complete a Credit Card authorisation.

Declaration *

By ticking this box and returning this form, whether in my own capacity or on behalf of the above stated company (where applicable), I confirm that I have read and understood The Chairman’s Club Terms and Conditions and agree to be subject to and will abide by them. Where I am completing this form on behalf of a company, I confirm that I am a duly authorised representative authorised to sign on behalf of that company. *

Privacy notice

Privacy Notice: VRC is collecting your personal information to facilitate your membership application and, if approved, administer your membership and its benefits. VRC may use and disclose your personal information as set out in this statement, our Privacy Policy (www.vrc.net.au/privacy-policy) and in accordance with your privacy preferences. If you do not provide your personal information we will not be able to process your application or, if approved, administer your member benefits. We may disclose your personal information to other parties, including our service providers, partners and sponsors (that may be located overseas from time to time). Our Privacy Policy contains information about how you may access and seek correction of your personal information, how to complain about a breach of your privacy, and how we will deal with that complaint.

Terms and Condition

To view the full terms and conditions, click here.

Terms *

I agree to the above Terms *

Please validate your response *

The Chairman's Club The Chairman's Club

Membership Form – 2024/25 Racing Season