Join – Classic & Sports Car Club Northland Inc

New Member Registration(#3)

New Member Application Form

The Classic and Sports Car Club Northland Inc

First Name

Last Name

Address

Address Line 1

Address Line 2

Surburb

Town/City

Postal Code

Country

Mobile Phone Number

Land Line Phone

Vehicle Make

Vehicle Model

Year of Manufacture

Registration Number

Message (if any)

Membership Fee $50

Please pay by internet banking to the club's account taking care to use the exact account name as listed below

Classic & Sportscar Club Nthland Inc
ANZ 11-5146-0442816-11

and include your name as a reference on your payment.

Then email the club president at president@cscc.org.nz to advise of your payment, ideally with your completed membership form attached or email it to the secretary at secretary@cscc.org.nz

Cash payments may be made in person at any of the coffee evenings or club days.

By submitting this membership application form, you agree that The Classic & Sports Car Club (Northland) Incorporated may collect and use the personal data provided in our membership database to enable us to communicate with you. Further to this you consent to abide by the rules as outlined in our Clubs Constitution which you can read here.

The Classic & Sports Car Club (Northland) Incorporated constitution.

Please read through this document before checking the tick box and clicking the SUBMIT button.