Our Organisation - Become a Member
Membership Application Form


Personal Information

Member Name:
Partner Name:
Address:
Telephone:
Fax:
Email:
Age group
member
Partner


Previous Experience

Have you previously or are you currently a member of any other Car Club?


If so, which club/s:


MNZ Competition
Licence Number:
Grade:
If accepted as a member of the Taupo Car Club Inc. I am willing to help or are interested in competing in the following:



Vehicle Details

Details of Car/s:

Experience
Results:

If my application is accepted. I agree to abide by the rules and regulations of the Taupo Car Club Incorporated. and those governing Motorsport in New Zealand



Applicant Name:
Date:




Proposed by:
Date:




Seconded by:
Date:



Committee by:
Date:

 

Subscription

Subscription year is from 1 August - 31 July inclusive.

Application Fee              $40.00

Which type of membership would you like?



Please note – total your application fee plus which
membership you would like

TOTAL

Credit Card Details

Select Card:
Card Number:
Name on Card:
Expiry Date:

Comments: