Membership Application Form

Join the BUICK CAR CLUB OF AUSTRALIA INC. (Qld.)

Use either the off line (download, print and post) or the online form below.

Offline Member Sign Up
Click here to download PDF Form
Post to Buick Car Club of Australia Inc. (Qld.)                                              1367 Old Cleveland Rd, Carindale.   Q 4152.                                                    E-mail to Secretary: adearling@bigpond.com

 

Payment Options

Post cheque with application or direct debit with reference your surname to
Heritage Bank
BSB 638070,    A/c #   8428328
A/c Name – Buick Car Club of Australia Inc.

ONLINE MEMBERSHIP APPLICATION FORM

  • ( This application form once submitted may take up to 14 days to process and to receive your confirmation of acceptance pack.)
    Complete the form below. Items marked * are required.

    • Buicks Owned:

    • How did you hear about the Buick car Club?

  • I do hereby make formal application to join the Buick Car Club of Australia Inc. (Qld.)
    Electronic submission is regarded as signing.
    Fill in the Anti Spam check below and click submit.

    • Section

 

Anti Spam