Form Test – Australian Pulsar Racing Association Limited

As part of your membership you are eligible for a sticker kit. You have the option of picking up your allocated Kit from the below address,

TOWNSEND SIGNS NSW

Unit 1, 10 Blackmore Road

SMEATON GRANGE NSW 2567

Please call on 02 46XX XXXX prior to attending to ensure your kit is ready for pickup

Alternatively, you can have your kit posted for a small fee of $15.00 + Credit Card Fee
Delivery or Pick up?
- Delivery ($15 + Stripe Fees)
- Pickup
Once you have submitted this form, please allow a couple of days for your kit to be put together. You will receive a confirmation email once your kit is ready for pickup.
Membership Number*
You must be a current APRA 2022 Full Financial Member and have already received your confirmation from the Club
Name
First Last
Delivery Address
Please provide a street address for delivery. No PO Boxes

Company Name (optional) Street Address City State / Province / Region ZIP / Postal Code
Email
Enter Email Confirm Email
Contact Number
Credit Card Fees
Price: $ 0.00
Total
$ 0.00
Credit Card
Card Details
Cardholder Name