Kinglake Phoenix Rod & Custom Club
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I am currently a member of Kinglake Phoenix Rod & Custom Club
Email Address
Your Member #
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I want to become a member of Kinglake Phoenix Rod & Custom Club

If you would like to become a member...
Please click here or the button below.


I want to be a member of Kinglake Phoenix Rod & Custom Club

Please complete the form below to become a club member.

After Registration, Your car "MUST" be inspected to make sure
it complies with Club Guideline issued by Vic Roads

If you already have and account, please to login

If you have any questions regarding registration. Please call Ray on 0488 424 205


Personal Details (For Vic Roads and Club Mailing Use)
First Name Last Name
Email Address Date of Birth
Drivers License # Occupation

Address Details (For Vic Roads and Club Mailing Use)
Street Name & Number Suburb
Post Code Phone (home)
Phone (mobile)

Vehicle Details (For Vic Roads Use)
Make Model
Year Colour
Body Type Seating Capacity
Outside Wheels Compliance Plate Date
No. of Cyclinders/Rotors Engine capacity
Engine Number Chassis Number
Engine Type Fuel Type
Transmission Left Hand Drive
Tare (kg) Manufactureer
GVM/GCM (kg)

Road Worthy Certificate (For Vic Roads Use)
RWC Number RWC Issue Date
RWC Tester Number

VASS Certificate (For Vic Roads Use)
VASS Number VASS Issue Date
VASS Signatory Number

Please Note : All car registrations are subject to approval by inspection and must be accompanied
by a Road Worthy Certificate and proof of ownership. (engineers report if applicable).

A Kinglake Phoenix Rod & Custom Club representative
will inspect your vehicle at Unit 15/24 Brand Drive Thomastown (map) for $50
or at your garaged address for $150 *conditions apply

Club Membership Fees are $50 p/a

Where would you like the vehicle inspected?
Other Address


If you have any questions regarding registration. Please call Ray on 0488 424 205





you must agree to our guidelines and terms to complete your registration.
I forgot my Member Number or Email Address


Please type in your Email Address below to receive your Member Number via Email.
If you do not know you Email Address, Please contact Ray on 0488 424 205

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