Signup. Fill in your details below and have your credit-card or PayPal details ready to complete your membership. All fields marked with a * must be filled out. Please ensure you read the rules before you register. First Name*Surname*Address*Suburb*State*QueenslandNorthern TerritoryNew South WalesSouthern AustraliaVictoriaTasmaniaWestern AustraliaACTPostcode*Contact Number*Email* Drivers Licence Number*Rego Number of Personal Car*Family NamesPlease only include names of direct family members. Family membership applies to husband, wife and children under the age of 18.Name of Family MemberName of Family Member 2Name of Family Member 3Name of Family Member 4Name of Family Member 5Truck DetailsPlease complete below details for each Comp Truck registered in the Club.Name of TeamComp Truck DetailsDeclaration* I have read, understand and will abide by the rules of membership for the NQ Extreme Offroad Club. I declare that the information above is true and correct. Club Registration* Price: $ 50.00 This iframe contains the logic required to handle AJAX powered Gravity Forms.