Online Membership Application Form

To make an online application for CACMC membership:

• Fill in all fields below with the best information you have available.  Note some fields are optional.
• For some fields, click on the field to make a selection.
• Don’t forget to click “Submit” when you have finished.

Canberra Antique and Classic Motor Club Online Application Form

Please enable JavaScript in your browser to complete this form.

Compliance *

• I agree to comply with the CACMC Rules and By-Laws as published

Membership class *

• Family Member ($105 includes joining fee)
• Single Member ($80 includes joining fee)

Payment of Joining and Membership Fee *

• I have deposited the amount for my membership class in the Club's account at Beyond Bank: BSB 325 185, Account name: CACMC, Account number: 04059566, and emailed evidence of the deposit to treasurer@cacmc.org.au
• Please contact me to advise how I can pay the joining and membership fee

Name *

First

Middle

Last

Name and FAMILY

Date of Birth (optional)

Partner Name (IF FAMILY MEMBER)

First

Middle

Last

Date of Birth (optional)

Address *

Contact Phone *

2nd phone

Email *

Vehicle Year

Make

Model

Colour

Restoration StatusSELECT ONEOriginal, RegisteredOriginal, UnregisteredBeing RestoredRestored, UnregisteredRestored, Registered

Current Registration

Concessional Rego StatusSELECT ONEHas ACT CRSSeeking ACT CRSHas NSW HVSSeeking NSW HVSOther

TO REGISTER ADDITIONAL VEHICLESFor each additional vehicle, submit a SEPARATE APPLICATION FORM, using the VEHICLE detail sections, but only your FIRST NAME and SURNAME to identify the vehicle ownership.

Queries, Comments, and Skills you might bring to support the running of CACMC Add your comments or queries here

Submit