QPC Team Membership

The Team Membership Includes

1 Years Membership - 5 Members
2024 QPC T-Shirt for each team member
6 x Professional Photos Per Round
Team and Drivers Profile on the QPC Website

Team Name

Race Team Name

Team Principal - Name

Team Principal - Surname

Team Principle Photo

Upload File

Upload supported file (Max 15MB)

Team Profile Photo

Team Photo

Upload supported file (Max 15MB)

The Team Description

Team Racecar

Upload Photo

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Team Description

Team Members Details

#1 First Name

#1 Last Name

#2 First Name

#2 Last Name

#3 First Name

#3 Last Name

#4 First Name

#4 Last Name

#5 First Name

#5 Last Name

#1 Members Role

#2 Members Role

#3 Members Role

#1 Members Photo

Upload Photo

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#4 Members Role

#2 Members Photo

Upload Photo

Upload supported file (Max 15MB)

#3 Members Photo

Upload Photo

Upload supported file (Max 15MB)

#4 Members Photo

Upload Photo

Upload supported file (Max 15MB)

#4 Members Photo

Upload Photo

Upload supported file (Max 15MB)

Team Location & Social Media Details

Street Address

Suburb

Post Code

Website

Facebook Profile Link

Instagram Profile Link

YouTube Channel Address

Primary Drivers License Details

AASA Licence Number

AASA Licence Type

AASA Expiry Date

Motorsport Australia Licence Number

Motorsport Australia Licence Type

Motorsport Australia Expiry Date

Emergency Contact

First Name

Last Name

Phone Number

Street Address

Suburb

Post Code

Relationship

Vehicle Details

Year

Make

Model

Upload Car Photo

Upload a Photo of Your Car

Engine Capacity

Major Sponsor

Sponsors Logo

Upload File

Upload supported file (Max 15MB)

Racing Class

Motorsports Australia Vehicle Identification Details

Motorsport Australia Log Book Number

MA Homologation Document No.

M'sport Aust. Race No.

Preferred Race No.

2nd Choice Race No.

Vehicle Owner (if not driver)

Your Signature

I have read and accept the QPC Code of ConductView Here

QPC Membership Fee is $650 per annum.

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QPC Team Membership

The Team Membership Includes

1 Years Membership - 5 Members 2024 QPC T-Shirt for each team member 6 x Professional Photos Per Round Team and Drivers Profile on the QPC Website

Team Name

The Team Description

Team Members Details

Team Location & Social Media Details

Primary Drivers License Details

Emergency Contact

Vehicle Details

Racing Class

Motorsports Australia Vehicle Identification Details

QPC Membership Fee is $650 per annum.

1 Years Membership - 5 Members
2024 QPC T-Shirt for each team member
6 x Professional Photos Per Round
Team and Drivers Profile on the QPC Website