NEXT RACEDAY –

Membership Application Form

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Membership Type*

Membership Number*

Please enter your Membership Number. Your Guest Card will be added to your existing Membership.

Photo ID

Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.

Name*

Phone*

Email*

Occupation*

Street Address*

Street Address Address Line 2 Suburb State Postcode Country

Birth Month

How Did You Here About Us

Membership Addons

Guest Membership

Please note: There is a limit of one Guest Card per Full Member.

Declaration*

I hereby declare to the best of my knowledge, information and belief, the answers given are true and correct and that I have not withheld any information likely to affect the decision of the Board of Directors of Newcastle Racecourse as to my eligibility of Membership and I agree to abide by the Terms and Conditions of Newcastle Racecourse for the time being in force.

Signature

Total

Credit Card*

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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