TOUGH TRACKS 4X4 CLUB

MEMBERSHIP / RENEWAL FORM

PERSONAL INFORMATIONReceipt Number:

Name: / Occupation (Optional):
Partner’s Name: / Occupation (Optional):
Children’s Name/s:
Address:
City: / State: / Post Code:
Postal Address (if different):
City: / State: / Post Code:
Telephone: / Email:
NOTE: Do you wish to have your contact details listed on the inter club contact list? Yes / No

MEMBERSHIP (please circle)

Initial (new) membership: / $75 (includes one club shirt – please complete shirt order form)
Renewal: / $50
Direct Deposit: Bank = Commonwealth Bank. BSB = 064002.
A/c Name = Tough Tracks 4x4 Club Inc. A/c No = 10200345.

COMP VEHICLE DETAILS

Make: / Make:
Model: / Model:
Year: / Year:
Rego: / Rego:
Colour: / Colour:
Class: / Class:

Member’s Signature:......

Date:......

DISCLAIMER: This information will not be distributed to any mailing agencies, but will be available for members’ use only.

NOTICE TO ALL MEMBERS AND VISTIORS

All members and visitors alike, including passengers, are reminded that their attendance for participation in any club event is of their own choosing and that they accept that they accept full responsibility for their own actions and consequences.

All persons, driver, visitors and passenger alike are reminded that they have a “Duty Of Care” to themselves as well as other, and take all necessary reasonable steps to ensure their own safety and the safety of others at all times.

All members, visitors and passengers are reminded that although the Club attempts to conduct trips and event in the safest possible manner, there are many changing factors and unforeseen circumstances that the Club and it’s members have no control over.

Each member, visitor and passenger are the only persons that know their own capabilities, and therefore are the only person who know if they are capable of participating or continuing to participate in a club trip or event. If these persons feel that their vehicle or themselves are incapable of participating or continuing in a safe manner, then they need to withdraw at that time from the trip.

If this happens, the person(s) must notify the trip or event leader or official, by radio of other means of communication, of their intention to withdraw.

Convoy Rules and Procedures are provided by the Club and it’s members for the safety and enjoyment of everyone on the trip or event.

Your participation on any Club trip or event is conditional upon you and your passengers, visitors and/or guests accepting the Club Rules, the Convoy Rules and therefore accepting your own liability of your own actions at all times.

Please remember that any trip or event is much more enjoyable when each of us take care, not only of ourselves, but also the safety of others.

......

NAME SIGNATURE

TOUGH TRACKS 4X4 CLUB

INCORPORATED

CLUB SHIRT ORDER FORM

Name:
Address:
City: / State: / Post Code:
Telephone: / Email:
/ Please note that this is a black and white photo of the shirt. The shirts will be Black/Ashe in colour and have “Tough Tracks 4x4 Club” embroidered in white on the front left hand side
SIZE / MEASUREMENTS / QUANTITY / UNIT COST / COST
Ladies
6/8 / 92cm chest / $25.00 / $
10/12 / 96cm chest / $25.00 / $
14/16 / 100cm chest / $25.00 / $
Men
X-Small / 97cm chest / $25.00 / $
Small / 102cm chest / $25.00 / $
Medium / 107cm chest / $25.00 / $
Large / 112cm chest / $25.00 / $
X-Large / 117cm chest / $25.00 / $
XX-Large / 122cm chest / $25.00 / $
3X-Large / 127cm chest / $25.00 / $
5X-Large / 137cm chest / $25.00 / $
NOTE: New club members are entitled to one shirt as part of their membership. Are you a new member Yes / TOTAL / $

Please send form and payment to:

Tough Tracks 4x4 Club Incorporated

PO Box 3174
Newstead Qld 4006

Cheque or Money Order Payable to: "Tough Tracks 4x4 Club Incorporated"