BOTH completed form AND membership fee must be received BEFORE membership will be processed.
for information regarding the Club Vehicle Registration scheme
Use this form if your membership is NOT expiring and you just need to update your contact and/or vehicle
You can renew your membership for up to 3 years, at $50 per year.
Please check your vehicle log
book expiry and align your membership to that.
Membership will only be processed on submission of form and receipt of payment.
Our preferred method of payment is via EFT.
Submit your form then pay by EFT using the details below:
Account Name: Chrysler Club SA
BSB: 065 145
ACCOUNT NO: 0090 1064
Amount Owing: $50.00
Please include your name and membership number (if you are an existing member) in the
Please check the details entered above prior to submitting. You cannot change the form once you submit it
(you will need to submit a new form).
A receipt will be sent to the email address above, including a copy of the payment instructions.