RAC Sign Up | Spinal Cord Injury Protection

Are you an existing PBF member?

No
Yes

I’m sorry, but this offer is only valid for new members of PBF.

Choose your Annual Membership Option*

Single $48 RAC offer $39
Double $65 RAC offer $52
Family $85 RAC offer $68

Membership Details - Person 1

Title*

Surname*

First Name*

DOB (dd/mm/yyyy)

Membership Details - Person 2

Title*

Surname*

First Name*

DOB (dd/mm/yyyy)

Children (Under 18 years only)

Surname*

First Name*

DOB (dd/mm/yyyy)

Surname

First Name

DOB (dd/mm/yyyy)

Surname

First Name

DOB (dd/mm/yyyy)

Surname

First Name

DOB (dd/mm/yyyy)

Postal Address

Address

Street Address Address Line 2 City / Town State Postcode

Phone

Email*

Tick box if you require a receipt

Yes, I require a receipt

Newsletter

Yes, I would like to receive updates from PBF

Donation

Yes, I would like to make a Donation

Donation Amount

Price

After you press Submit you will be taken to the St George secure banking website

Total

$ 0.00

Sign Up Form

Private Membership

Membership Details - Person 1

Membership Details - Person 2

Children (Under 18 years only)

Postal Address

Injury Prevention Program Enquiry