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: