Full Members (R300) for 2 years membership

Anyone is welcome to become a ACSA member, you don't even have to own an Audi.

Bank account details

Members wishing to deposit funds into the bank account can do so to ABSA, current account number 4063089459, branch code 632005.

Please remember to include your name as a reference in the form below when signing up.

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Please note that fields in italics are required for the form to be accepted.

 

Renewal:	New Member Renewal
Deposit reference (i.e. your name):
First name:
Surname:
E-mail:
Forum login name:
Occupation:
Tel (work):
Tel (home):
Cell phone:
Postal address:
:
:
Postal code:
Country:
Region:	Gauteng Kwazulu-Natal Western Cape Other / Not listed
Please contact me by:	E-mail Work phone Home phone Cell phone Post
Audi(s) currently owned:
Other car(s) currently owned:

I, the undersigned, agree that I participate in any event organised by the Audi Club of SA entirely at my own risk. I, or my estate, or any person acting on behalf of myself or my estate or any individual, whether family members or guests, attending such events, shall not hold the Audi Club of South Africa, any of its committee members, members or any agents, organisers and/or promoters (collectively .the individual/s.) liable and have no claim of whatever nature against said individual/s for any injury, damage or loss, including consequential loss to any person or their possessions howsoever caused, including personal injury or death caused by or contributed to by negligence of the individual/s.

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This indemnity shall apply to any activity, competition, event, practice, demonstration trial or test as arranged by, or attended by the individual/s.

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All my personal information may be used by the club only for the club.s benefit and will always be treated confidentially. I also give the Audi Club of SA permission to contact me via SMS and/or email regarding club related meetings, special offers and events.

Disclaimer:	Accept Decline