Become a MRC Member

Simply fill out this online application form and declaration to become a member of the MRC. Our members enjoy reliable protection, priority servicing and advice from our experienced staff members.

If you haven’t received a quote already, please fill the form below and we will be in contact with you in 24 hours.

MRC Member's Application and Declaration form

Individuals

Preferred method of communication

By providing the email address for the contact person, you agree that this email address is the default address for all member correspondence (such as transaction confirmations, statements, reports and other material) and you agree to the Terms for Electronic Communication outlined on our website at www.melbournerideshareclub.com.au or available on request from Member Services. From time to time we may still send you correspondence in the post.

Vehicles to be covered

Use the button below to add vehicles to be covered

Add a Vehicle


Previous cover detials:

Bank Details

Acknowledgements and signatures

By signing this Application Form I/we confirm that:

  • I/we agree to be bound by the terms of the Constitution, the Membership Rules.
  • I/we declare that all details given by me/us on this Application Form are correct and that I am/we are at least 18 years of age.

(Draw your signature above)