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Please complete the form to request NEW membership.
For help completing this form, please contact office@porsche.org.nz.

* Mandatory fields

NEW MEMBERSHIP APPLICATION FORM FOURTH QUARTER 2020

Personal Particulars






Details of Porsche(s) currently owned

Car 1 - If you have more than one Porsche there is a field below

Activities of Interest & Statistics










Statistical information for Motorsport New Zealand








Privacy Act 1993: By submitting this form I/We consent to the information contained in this form being held by Porsche Club New Zealand (Inc.) (the "Club") for it to retain and use in any way in connection with the club, as listed in the Constitution and Rules of the Club, including publication by the Club in its' publication "Spiel" and/or its' newsletters. I/We acknowledge my/our right of access to and correction of this information. This consent is given in accordance with the Privacy Act 1993.


Membership and Payment Options



Via Direct Bank Transfer - if you select this option please process a Direct Bank Transfer.
Include YOUR NAME as a reference when transferring your payment into:
ASB 12 3064 0177562 00

Via Paystation; Please refer to the Member Payments page to pay directly using your credit card. No setup required.

Fifteen month membership
190 NZ$
x
0.00 NZ$
 
0.00 NZ$
 
Sum: 0.00 NZ$
Personal Data