MEMBERSHIP APPLICATION FORM

Full Names   

Residential Address

Email Address

Phone numbers

Membership Category Applied For Full Associate Social

Partners Names  

Wishes to be a Social Member

Does not wish to be a Social Member

Childrens Names and d.o.b.

  GTR GTR XU1 LC LJ Regn   Currently Unregistered

Original Colour  Present Colour

Modifications  

I acknowledge acceptance for Full membership is subject to vehicle inspection and approval of the application by the Club Committee;

I agree to pay the required membership fees as stated in the fee structure, within 14 days of 'notice of membership acceptance' being sent and received, thereby validating the membership;

I am the lawful owner of the above mentioned vehicle.

Thank you for your application, a member of the Committee will be in contact with you shortly.

The President

GTR XU1 OWNERS CLUB OF NZ