Registration

Your Name*
First Name Last Name
Date Of Birth
MM slash DD slash YYYY
Occupation
Partner’s Name
Date of Birth
MM slash DD slash YYYY
Children’s Name
Date of Birth
MM slash DD slash YYYY
Children’s Name
Date of Birth
MM slash DD slash YYYY
Children’s Name
Date of Birth
MM slash DD slash YYYY
Address
Suburb
State
Postcode
Email Address*
Phone*
Mobile
Vehicle model
Year of manufacture
- Standard
- Modified
- Restored
- Original
Number of years owned
Build no
VIN no
Body no
Engine no
Rego no
Colour
Special features or options
File*
Drop files here or

Accepted file types: jpg, png, jpeg, pdf, Max. file size: 128 MB.
It is part of the “conditions of membership” with the BCOAA that you must own a genuine Brock built HDT Commodore or Magnum. Proof of the car’s authenticity must be supplied by the car’s owner at time of application ie copy of HDT build paperwork. If satisfactory proof of authenticity is not received, forms will be returned and membership not accepted. * Associate membership is available to financial members who no longer own a Brock built HDT vehicle, but who wish to remain in the Association.
- I am applying for associate membership *