Membership

To become a member, please fill out our below our membership application form.
Membership fee: $40 per annum. Current year to 31 March

APPLICATION FOR MEMBERSHIP

* Indicates required field

Full Name *

Partners Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Number *

Home Phone Number *

Email *

Occupation *

Vehicle Details

Model(s) *

Year *

Registration *

Colour *

No. of owners *

Extras / Modifications *

Condition *

Known History *

Please upload a photo of your car *

Max file size: 20MB

Discalimer *

If accepted for membership by the Club, I agree to abide by the Rules of the South Canterbury Zephyr & Zodiac Enthusiasts Club. In filling out this form and signing it, you give permission for these details to be included on our club membership list available to all members.

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