Please fill out the form below to submit your membership application. You can also download a PDF copy of the form here and email it to firstname.lastname@example.org.
Download Membership Form
Driver Education and Safety (DES) LTDACN: 622 773 344 ABN: 45 622 773 3441 Ellison Close Worrigee, 2540
Date of Birth
I authorise DES to send me updates and information related to my membership.
I hereby request membership to Driver Education and Safety Ltd and agree to, abide by the Constitution and any changes as notified and uphold the standards and goals of DES. I agree to pay $10 yearly membership and $10 yearly registration fee.
I AcceptI Decline
I would like to sponsor a Lesson ($30)
I would like to be contacted about Corporate Sponsorship
Bendigo Bank Nowra
BSB: 633 000
Account No: 161872643
Please enter Surname on transaction as an Identifier.