Register

Please identify and describe yourself:

First name
Last name
Middle initial
Date of birth
Sex	Male Female
Additional Names If Family Membership

Please provide the following contact information:

Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
E-mail

Enter your Z car/cars in the space provided below.

(Example: 1975 Datsun 280Z)

   Color:
   Color:
   Color:

Select any of the club interests that apply:

Locating Parts Parts Discounts  Technical Info
Auto Crossing  Road Rallys       Car Shows
Picnics           Parties             Group Outings
Road Trips      Day Trips         Weekend Trips

Membership Dues are $30.00 per year due on January 1 of each year. For new members joining after January 31, there will be a reduction of $2.50 per month. For Example: If you join in May you would pay only $20.00 for this first year.
 

After you complete and submit this form you will be contacted by the clubs membership officer