Member Registration

Member Information
Office Use Only

Username^*

Password^*

Password must be at least 7 characters long.

Enter password again^*

Password must be at least 7 characters long.

Email^*

First Name

Last Name

Address

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Street Number

Street Address

City

State

Country

Zip Code

Mobile number

Vehicle 1

Vehicle 1 - Photo

Year of manufacture

Make

Model

Registration #

Colour

Details of vehicle

Please provide some information about your vehicle.

2nd Vehicle

Yes
No

Select this if you have more than one vehicle to register

Vehicle 2

Vehicle 2 - Photo

Year of manufacture

Make

Model

Registration #

Colour

Details of vehicle

Please provide some information about your vehicle.

Proposer

Position

Position of the proposer

Seconder

Position

Position of seconder

Birthday

Membership Status

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