Australian Chinese Jockey Club | COMPLETE THE FORM BELOW TO APPLY FOR MEMBERSHIP

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Employer Business Name / Position / Industry

Personal History

IF YES TO ANY OF THE QUESTIONS BELOW, PLEASE ATTACH FULL PARTICULARS.

1. Do you have a criminal record in Australia OR elsewhere?

Yes
No

Have you ever been charged by police in Australia OR elsewhere for any offences?

Yes
No

Has your application for membership of ANY club been rejected or deferred?

Yes
No

Have you ever been disciplined by a committee of a club?

Yes
No

Have you ever been convicted in any court of an offence (other than a minor traffic offence)?

Yes
No

Have you ever been bankrupt OR insolvent OR assigned your estate for benefit of OR entered into any composition with your creditors?

Yes
No

Have you incurred liabilities in connection with horse racing and not discharged same in full or been declared a "Defaulter in Bets"?

Yes
No

Membership Type*

Corporate Membership
Gold Membership
Premium Membership
YPA Membership (Under 35 Years Old)

Payment Details

Please make a payment according to the chosen membership type using the link above.

PLEASE ATTACH PROOF OF PAYMENT BELOW*

Drop files here or

Max. file size: 128 MB.

DECLARATION*

I hereby declare that the information provided is correct and accurate. I am over the age of 18 and agree to abide by the by-laws of the Australian Chinese Jockey Club.

I agree not to sell, promote or advertise for sale horses to members or horse syndicates without the written consent of the Australian Chinese Jockey Club's Advisory Council, in order to ensure members are protected from predatory sellers.

This membership application is for the Australian Chinese Jockey Club (Melbourne) only.

I understand my application to become a member of the Australian Chinese Jockey Club will be assessed by the Head of General Membership and the Board, who have absolute discretion in accepting or rejecting applications.

I understand that, in the event of my cessation as an ACJC member, I shall refrain from representing ACJC in any capacity, including wearing any merchandise bearing the ACJC logo in public.

I understand that my personal information will be used for the purpose of direct marketing materials, updates regarding our website and social media, and information provided in the form of newsletters.

I understand that all members must comply with ACJC internal policies, which are updated regularly.

I agree to the privacy policy.

COMPLETE THE FORM BELOW TO APPLY FOR MEMBERSHIP

Personal History

Payment Details

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