Sticker Kit Order Form

As part of your membership you are eligable for a sticker kit. For new members please indicate below that you require a full kit

If you are an existing member, please assist the club by only requested the stickers you require for your car, rather than a full kit.

Your assistance with this goes a long way to further supporting your club and we thank you for that
Are you a
- New member - require a Full Sticker Kit
- Renewing member - require only some Stickers

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Would you like your kit posted or will you collect*
- Posted to the above address $10.00
- Collect from next event
Payment Method
Please refer to the merchant (www.stripe.com) for details on transaction fees.
- Direct Deposit
- Credit Card ($0.30 + 1.75% Transaction Fee)
Credit Card Fees
Price: $ 0.00
Total
$ 0.00
Credit Card

Card Details

Cardholder Name
BSB: 062-644
Account: 1041-9831
Name: Australian Pulsar Racing Association Ltd
Reference: Your Name

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Thank you for taking the time to fill out this form. Please complete your submission by hitting the SUBMIT button below.

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