Restricted Membership is your gateway to Full Membership. This membership category provides you with many of the same privileges of Full Membership

Applicant Details

Title *

Decorations

Given names *

Surname *

Date of birth *

Occupation

Company

Contact Details

Email address *

Contact number *

Postal Address *

Suburb *

State *

Postcode *

Names of other clubs of which you are a member

I consent to VRC contacting the clubs nominated for the purpose of verifying my membership.

Yes No

Upload applicant profile photo *

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If yes to any of the questions below, please attach full particulars.

Has your application for membership of any club been rejected or deferred Have you ever been disciplined by a Committee of a club Have you ever been convicted in any court of an offence (other than a minor traffic offence) Have you ever been bankrupt or insolvent or assigned your estate for the benefit of or entered into any composition with your creditors Have you incurred liabilities in connection with horse racing and not discharged same in full or been declared a “defaulter in bets”?

Attach files for particulars of the above

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Nominate an Authorised Contact

Would you like to nominate an Authorised Contact to access, purchase products, or make changes to your personal or membership details on your behalf.

Name

Contact number

Declaration

By submitting this form, I agree that I have read, agree to and should by membership application be accepted, will be bound by Victoria Racing Club
(VRC)’s Constitution, By-Laws and Membership Conditions, including those additional terms and conditions expressly referred to within the Membership
Conditions, as published and amended by VRC from time to time and available at www.vrc.net.au/terms-and-conditions. Should I not agree, I will notify VRC
within 30 days of receiving my subscription notice, and I acknowledge that VRC will then cancel my membership and refund all fees paid. I also hereby declare
the information given above is true and correct and that there is nothing to my knowledge that would prevent me from becoming a member of VRC, nor have I
withheld any information likely to affect my eligibility for membership of VRC.

Application Process

Once your application form has been received it will be presented before the Board of Directors of the Victoria Racing Club for approval. Upon approval of your application, the Membership Services Team will be in contact to finalise your payment details and discuss available payment options, including paying via instalments.

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 *

I agree to the above Terms *

Restricted Member Application Form Restricted Member Application Form