The Chairman's Club Membership Application Form

Membership Application Form – 2025/26 Racing Season

Member Details

Company Name *

Company ABN *

First Name *

Email *

Last Name *

Phone Number *

I would like to authorise another contact

Authorised Contact Details

First Name

Last Name

Phone Number

Membership Options

I would like to apply for a Chairman's Club membership for the 2025/26 racing season. *

Payment due Payment due within 14 days of invoice. If payment is not received within this time, you will not be guaranteed a Membership for the 2025/26 season.

Recipient of Complimentary VRC Membership *

Method of Payment

Payment options

Please send me a tax invoice payment

Credit card payment

Please note, if you select credit card method, you will be contacted by VRC to complete your payment.

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 Conditions

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 Application Form – 2025/26 Racing Season

Member Details