Corporate Platinum

Terms:

$6,500 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Organisation Name:* Organisation Name is Required

Number of Members / Staff:* Number of Members / Staff is Required

Phone Number:* Phone Number is Required

Club Delegate 1 - Name: Club Delegate 1 - Name is not valid

Club Delegate 1 - Email: Club Delegate 1 - Email is not valid

Club Delegate 1 - Phone: Club Delegate 1 - Phone is not valid

Club Delegate 2 - Name: Club Delegate 2 - Name is not valid

Club Delegate 2 - Email: Club Delegate 2 - Email is not valid

Club Delegate 2 - Phone: Club Delegate 2 - Phone is not valid

Club Delegate 3 - Name: Club Delegate 3 - Name is not valid

Club Delegate 3 - Email: Club Delegate 3 - Email is not valid

Club Delegate 3 - Phone: Club Delegate 3 - Phone is not valid

Email:* Invalid Email

Select Payment Method

PayPal or Credit Card Credit Card Direct Debit or Bank Transfer

Pay via your PayPal account

Name on the card:* Name on the card is required.

Credit Card:*

Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it.

Westpac Ballarat Australian Recreational Motorists Association BSB 033605 ACC 640925

I have read and agree to the Terms and Conditions*

This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy.

No val Please fix the errors above

Corporate Platinum

Recent Articles

ARMA Facebook Feed

Pin It on Pinterest