Your email address. A non work address is best, gmail, outlook, yahoo, xtra etc.
Your answer
Second Email
A backup email address.
Your answer
Address *
Your home address. Press enter to move to the next line.
Your answer
Emergency contact *
Name and phone for an emergency contact person.
Your answer
NZFWDA
Your NZFWDA number if you know it.
Your answer
Other Club
Any other 4WD club you belong to.
Your answer
Membership type *
Spouse
Spouse or Partner's name (if family membership)
Your answer
Vehicles *
Vehicles owned (Model, year and rego please)
Your answer
Rules *
I agree to abide by the club's constitution and by-laws. I confirm that any vehicle I use on a club run will have a minimum of $2 million Public Liability Cover.