Membership application: Retiree

Financial Year 2021

Please complete and submit the form below.
A copy of your Driver’s Licence or Birth Certificate must be provided as evidence of your ID.

    Can we disclose your name?

    Your name:

    Your address:

    Your email (required):



    Upload evidence of your ID (1MB Limit)

    Drive Electric newsletter

    Subscribe to our newsletter to keep up to date with Drive Electric.

    You have Successfully Subscribed!