Membership Form

* Denotes required feild

First name*

Last name*

Your email*

Address*

City*

Phone Number*

Your Date of Birth*

I am interested in:
Volunteer / MarshallMotorkhanaAutocrossSealed SprintsGravel Sprints1/4 MileRallyCircuitSocial

Membership Type*
2x Club Stickers $10Single Membership $72Family Membership $92Associate Membership $56 (has no voting or competition rights)NEW member only - Joining after 1 July, 1/2 price on membership fee

If you selected family membership, what are their names and date-of-birth? Note: Must be living in one household, Couple + under 18's

Physical Membership card - tick box if you would like a physical card (not required with sporty)
Yes, physical card please
I consent to the Hawke's Bay Car Club Inc. collecting the details as provided, retaining and using these details for the purpose of keeping me informed of the club's activities and administration. I acknowledge my right to have access to this information and will advise the Hawke's Bay Car Club Inc, if there are any changes to the above details. This consent is given in accordance with the Privacy Act 2020.*
Yes, I consent