Membership Application

Memberships are vital to the ongoing success of the Wentworth Races, so become a Member and for

$30 you can help ensure the race meeting continues for another 150 years.

Name:______________________________________________

Postal Address:_____________________________________________

Suburb/Town_________________________________________

State:_________________ Postcode: _____________________

PH:_________________________________________________

Email: _______________________________________________

MEMBERSHIP ADVANTAGES
1. FREE entry into the course for YOU and a GUEST.
2. FREE race book.
3. Members badge.
4. Voting rights at AGM.
5. Entry into the Members Prize Draw.
6. Access to members area.
7. Discounted entry into Race Club Fundraisers.
8. Free ride on the mini Wenty shuttle bus (pickup from the Wentworth & District Community Bank to the track & return).
9. Warm fuzzy feeling you get from helping the Community.

PREFERRED PAYMENT OPTION

MASTERCARD     VISA     CASH

CHEQUE/MONEY ORDER     DIRECT DEBIT

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Credit Card #:  ___________________________________

Expiry:  _________________________________________

Name: _________________________________________

Signature: ______________________________________

Bank Account details for EFT Payments:
Wentworth District Racing Club Inc
BSB:  633000
Account No.  108745605