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Your Details

First Name

Last Name

Email

Phone

Date of birth

Gender

Male Female Rather not specify

Address

Address 1

Address 2

Suburb

State

Postcode

Pilot Name

Membership Details

2024/2025 Full year membership

Junior: $110 (FPV Rebels: $45 - MAAA/MAAQ: $65)
Senior: $225 (FPV Rebels: $90 - MAAA/MAAQ: $135)

MAAA/MAAQ Number

Existing FPV Rebels Member

Yes No

FPV Membership

Senior Junior

Membership Fee

Full Member including MAAA/MAAQ Member without MAAA/MAAQ

Payment Total:

Payment Type

Credit Card (in Person) Cash Bank Transfer

Credit Card (in Person)

Fees Here

Please see one of the Rebels team to make the payment at the next event.

Cash

Fees Here

Please see one of the Rebels team to make the payment at the next event.

Bank Transfer

Fees Here

Please send the money to the following bank account and then show proof of payment to race organisers.

Account Name: FPV Rebels Inc
BSB: 014221
Account Number: 301078231

Yes, I acknowledge this is me and I agree to abide by club rules and terms

© FPV Rebels

Enquires Please email [email protected]