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Delaware Valley Tesla Owners Club Membership Form
To join the club please provide the requested information
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Email
*
Your email
Official Tesla Owners Club for the Delaware Valley including the Philadelphia metropolitan region, South and Central NJ, and DE
Last Name
*
Your answer
First Name
*
Your answer
Email
*
Your answer
Full VIN Number
*
Tesla requires proof of ownership for membership in the Tesla Owners Club. Your VIN# will be kept safe and will not be shared outside of the membership database. Please provide your full 17 digit VIN#. If you are a reservation holder your reservation number is acceptable as proof.
Your answer
Tesla Model(s)
Roadster
Model S
Model X
Model 3
Model Y
Reservation
Other:
State of Residence
*
Choose
NJ
PA
DE
MD
NY
Other
City of Residence
Your answer
Zipcode
*
Your answer
Would you like to be invited to our club Slack channels so you can communicate with other club members?
*
Yes, include me in Slack with email address provided
Yes, include me, but use a different email address (provide in comments below)
No, do not include me in Slack communication
Social Media and Tesla User Forums Used
FaceBook
Twitter
Instagram
Reddit
YouTube
None
Other:
Social media username
Your answer
Most Commonly Used Tesla Service Center
*
Devon PA
Lancaster PA
Cherry Hill NJ
Princeton NJ
Springfield NJ
Paramus NJ
Baltimore-Owings Mills MD
Other:
Birthday (Month Day)
MM
/
DD
Spouse or partner name
Your answer
Phone number
Your answer
Today’s date
*
MM
/
DD
/
YYYY
Anything else you want to tell us
Your answer
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