Print out the attached form, completing all details and either fax to 03 8354 2595 or mail to:

Racing Australia
400 Epsom Rd.
FLEMINGTON VIC 3031
Credit Card Application Form

(Please Print Clearly)

Are you renewing your subscription? If so, Username __________________

Surname
______________________________
Given Names
_________________________________________
Initals
___ Titles  Mr   Mr   Mr
Gender
Male   Female
Preferred Name
______________________________    
Postal Address
____________________________________________________________________________________
Suburb
______________________________
State
_____________ Post Code ___________________
Country
______________________________    
Home Phone
______________________________
Work Phone
_________________________________________
Mobile Phone
______________________________
Fax
_________________________________________
Email
____________________________________________________________________________________

Tick the appropriate product

HORSE & RACE ENQUIRY

Annual $253 (incl $23 GST)
Monthly $33 (incl $3 GST)
Weekly $11 (incl $1 GST)

WEBFORM

365 Days $187 (incl $17 GST)
180 Days $99 (incl $9 GST)
90 Days $59.40 (incl $5.4 GST)
30 Days $19.80 (incl $1.8 GST)

DOWNLOAD ACCOUNT

$___________

Payment Details: (please tick one box only) Credit Card  Cheque  Money Order

Credit Card Type:  Mastercard  Visa  Bankcard

Card Number:

Expiry Date: ______________________________
Name on Card: ______________________________________________________
Signature: ________________________________
Payment Amount :


All Cheques and Money Orders made payable to Racing Services Bureau
Please allow 7 days for your application to be processed. 
Your User Name and Password will either be mailed or emailed to you if your application is successful.
For application enquiries please call the Racing Australia Help Desk on (03) 8354 2545.

Racing Services Bureau Home Page