Fill out the form below to become a provisional member of the club. After you submit the form we’ll send you an invoice for the $15 provisional membership fee and give you a call to run through the upcoming club trips.

With your $15 provisional membership, you’ll be able to attend up to three trips to decide if the club is right for you. After you’ve got to know the club, if you choose to apply for full membership and you’re accepted into the club, we’ll then invoice you a $135 one-off joining fee and the remaining annual fees due for the membership type you choose. The membership year runs from 1 July to 30 June and if you join part way through the year, your first year fees may be discounted.

Take a look at the membership page to learn about the benefits of joining the club.

To understand our approach to privacy and your personal information, take a look at our Privacy Policy.

Membership Application

First Name

Last Name

Email Address

Mobile Number

Working With Children Check number (leave blank if you don't have one yet, and we'll show you how to apply - it's easy and it's free)

Vehicle Type

4WD Experience

Previous Training

Previous or current 4WD club memberships

Interests Interests 4WDing Camping Touring Extreme 4WDing

I hold certifications in I hold certifications in First aid Chainsaw

Membership Type Membership Type Individual ($120 per year) Family ($150 per year)

Street

Suburb

State

Secondary Member First Name

Secondary Member Last Name

Secondary Member Phone

Secondary Member Email

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone

Emergency Contact Email

Member Declaration Member Declaration I, the person named above and of address listed within this form, desire to become a Member of the Everest 4WD Club of Victoria Inc. By ticking this box, I am digitally signing that in the event of my admission as a Member, I agree to be bound by the Rules of the Association and the rules of organisations the club is affiliated to for the time being in force.

How did you hear about us?

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