Joining - Triumph Owners Club

Application for Membership

First Name *

Last Name *

Street Address

City

ZIP / Postal Code

Email Address

Home Phone

Cell Phone

Triumph Cars Presently Owned

Year - Car 1

Model - Car 1

Reg No. Car 1

Colour - Car 1

Year - Car 2

Model - Car 2

Reg No. Car 2

Colour - Car 2

Year - Car 3

Model - Car 3

Reg No. Car 3

Colour - Car 3

Partner Name

Cell Phone *

Membership Annual Subscription$35 individual membership annual subscription$40 joint membership annual subscription

You can pay by internet banking: Westpac 03 1598 0008350 00

Please put your name in the reference box so that your payment can be traced, or cash can be paid to the treasurer on club runs. Membership fees after 1 July are half the annual subscription.

Individual membership covers where a partner does not want full member rights.

Joint membership covers two members living at the same address wanting full member rights.

Consent

I/We consent to the collection of details for the benefit of Triumph Owners Club Inc for communication and statistical purposes. I/We acknowledge my/our right to access and correction of this information. This consent is given in accordance with the Privacy Act 2020.

Consent

I/We hereby agree to abide by the constitution of the Triumph Owners Club Inc.

Consent

I/We consent to apply for membership and show that by placing our full name or electronic signature in the box indicated. The payment of the Subscription each year confirms that we still wish to be members for the ensuing year.

Member Full Name

Partner Full Name

Date

Confirmation of membership will be advised by the committee of the Club. On completion of this form press Submit.

Please do not fill in this field.