Membership Form

The membership year is 1st July to 30th June.

General member: $30.00 per year. When registering after February $20.00 for the remainder of the year.

Associate member: this would be a partner our spouse or family members $10.00, this price remains the same no matter when you register.

MSNZ membership: $65.00 per year, this price remains the same no matter when you register.

Name(Required)

Prefix First Last

Email(Required)

Mobile Phone(Required)

This field is hidden when viewing the form

Mob Phone Hidden

Date of Birth

Occupation

Postal Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Forum username if any

Model and Make of car(Required)

Rego (if you're happy to supply)

Colour

Year of Car

I am interested in helping out the Committee

Committee member

Event organisation

IT help

Accounts

Please note if you intend to to participate in Motorsport NZ events, obtain a Motorsport Licence or use any services provided by Motorsport NZ as a result of your membership you must choose Sporting Member.

Membership Type(Required)

($65) MSNZ affiliated 12 months renewal or new membership (Sporting Member)

($30) Full member 12 months renewal (Member non MSNZ affiliated)

($20) I am joining the club after February for the remainder of the year

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