Membership Form 2023/24
Please fill out this form to start your membership process. Payment of €35 can be made to one of our committee members at our next ride.
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Email *
A little about you
First Name *
Last Name *
Mobile Number *
Date of Birth *
MM
/
DD
/
YYYY
Nationality *
ID Card Number *
Address Line 1 *
Address Line 2
City/Town *
Postcode *
Country *
A little about your Vespa
Vespa Model *
Vespa Licence Plate Number *
Vespa Engine Size (CC) *
Vespa Year of Manufacture *
Vespa Colour *
Is your Vespa a Classic *
A little more information
Do you form part of any other scooter club? *
If you do, which club?
In case of an emergency
Emergency Contact Name
Emergency Contact Mobile Number
Can we email you with information, promotions and other updates?
*
Required
My submitting this form I declare that the above information is correct, and I understand that under no circumstances is Vespa Club Malta responsible for any accidents that may occur during organised rides by the club. I also hereby agree to abide by the rules and respect ethics of Vespa Club Malta that may be in force from time to time and I understand that my membership may be terminated immediately should the Vespa Club Malta Committee conclude that I have violated any of the said club’s rules, general instructions or failed to maintain the club decorum.
The data provided to Vespa Club Malta will be used for the club's internal purposes and to keep records of all members registered with the club up-to-date. Club memberships are only available to Piaggio Vespa owners. The Vespa Club Malta Committee reserve the right to decline any membership request or withdraw issued memberships if they so deem fit.
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