Gift Certificate Request

Use this form to purchase a Gift Certificate for any of the listed courses.

Gift Certificates can be used when requesting a booking in the chosen course. Gift Certificates cannot be redeemed for cash.

• Defensive Driver Training Course - STAGE 1 - COST: $275
• Defensive Driver Training Course - STAGE 2 - COST: $300
• Drift School - COST: $200
• Twilight Drive Night - COST: $240
• Race School - COST: $495
• Open Track Day - COST: $330

After PAYMENT is received, your request will be processed and the Gift Certificate with further details will be forwarded to you.

		NB: ALL fields must be completed
Course		Choose Defensive Driver Training Course - STAGE 1 - COST: $275 Defensive Driver Training Course - STAGE 2 - COST: $300 Drift School - COST: $200 Twilight Drive Night - COST: $240 Race School - COST: $495 Open Track Day - COST: $330
Your Name
Your Address
Suburb		Postcode
Phone
Mobile
Email
Gift to		His/Her Licence Choose L Plate P Plate Full (name to appear on Gift Certificate)
Payment by		Credit Card  OR  Direct Deposit
Pay by Card		If paying by Mastercard OR VISA Card complete below. If Direct Deposit preferred, follow details further below.
Card Holder
Card Number		Expiry
		NOTE: All Credit Card Transactions will incur a 3.0% Surcharge, all prices displayed are in Australian Dollars (AUD) and include GST, we do not accept AMEX or Diners.

Pay by Direct Deposit
Be sure to include a reference in the form stipulated here so that we can identify your payment.

Reference		(your surname)-Gift
Bank		Commonwealth
Account		Australian Racing Drivers Club
BSB		062-004
Account#		10086042

Copyright ^© 1999-2010 Australian Racing Drivers Club Limited. Ph: +61 2 9672-1000