Provide your full name so we can match your payment to your membership.
Please enter Firstname Lastname.

For family memberships, separate each by line. Example:
John Smith
Mary Smith

Enter your email address

Enter your phone number

Enter your date of birth using Day/Month/Year
e.g. 28/10/1990

Please enter your current age range

I consent to The Manawatu Car Club Incorporated collecting the details as provided, retaining and using these details for the purpose of keeping me informed of the clubs activities.
I acknowledge my right to have access to this information and will advise The Manawatu Car Club Inc if there are any changes to the above details.
This consent is given in accordance with the Privacy Act 1993.

I hereby apply to join The Manawatu Car Club Incorporated and in doing so declare, that if accepted, I will abide by the Constitution of the Manawatu Car Club:
https://manawatucarclub.org.nz/wp-content/uploads/Docs-MCC-Constitution-2009.pdf
And the Constitution of Motorsport New Zealand:
https://manawatucarclub.org.nz/wp-content/uploads/Docs-MSNZ-Constitution-2016.pdf

Please add the names and age ranges of all family members to be included in this membership