TRIUMPH CAR CLUB of W.A. Inc.

Membership Application Form.

Applicant's Name ............................................................................................................................................................

Joint Member's Name ......................................................................................................................................................
(must reside at same address)

Applicant's Occupation ................................................................................................................................................

Address ...........................................................................................................................................................................

              ...........................................................................................................................................................................

Telephone Number..........................................................  Mobile Number ...................................................................

E-Mail Address..............................................................................................................................................................

I hereby apply for membership to the Triumph Car Club of W.A. Inc, valid until the 30th June

I enclose my $15 joining fee and my annual subscription of $.......................
(See below for applicable membership fees)

 

Signature ..................................................................................     Date .................................................................

Briefly, your reason for applying ...................................................................................................................................

..........................................................................................................................................................................................
(this will assist us to fully consider members' interests.)

Details of Applicant's Car

Make........................................................................            Model...............................................................................

Year..........................................................................            Body Colour.....................................................................

Trim Colour...............................................................            Registration No................................................................

Types of Membership

Membership $50   for one person
Joint Membership  $60   for two people residing at the same address eg. husband & wife
Associate Membership $50   not currently owning either a Triumph or Standard motor vehicle
Country Membership $40   residing more than 150kms from Perth CBD
International Membership $50   residing in a foreign country

 If you are a new member, remember to add the $15 joining fee to your membership fee.
Please hand your completed form to the club secretary or post it to the address below.

The Triumph Car Club of W.A. Inc.
PO Box 440
Bayswater    W.A.    6053