Peugeot Car Club (Wellington) Inc

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Application for membership (2023-2024)

This form is for those who wish to apply for membership of THE PEUGEOT CAR CLUB (WELLINGTON) Inc.

If accepted you agree to be bound by the Rules and Regulations of the club.

We will confirm acceptance of this application within 10 working days once subscription payment is received.

CONTACT US:

Email: peugeot.club.wgtn@gmail.com

Email *

Full name/s *

Address *

SUBSCRIPTION RATES FOR NEW MEMBERS

A digital subscription discount is now offered, where club magazines are delivered in PDF format by email, as opposed to a printed magazine delivered by NZ Post.

Member - $45.00 (digital subscription $35.00)

Family Membership - $48.00 digital subscription $38.00

Country Member - $40.00 digital subscription $30.00

Family Membership (country) - $43.00 digital subscription $33.00

Note: Country membership is only available if the resident is outside of the Wellington region (ie North of McKays Crossing or Remutaka Hill)

Half rates apply if joining between 1 Jan & 30 June 2024

PLEASE PAY SUBS BY DIRECT CREDIT TO: ANZ a/c 01 0564 0030854 00
Please use your first initial and surname as the reference.

Subscription type *

Member

Family Membership

Country Member

Family Membership (Country)

Is this a digital subscription? *

Yes

No, I would like to receive my magazine by mail

FOR CLUB RECORDS

The following information is for club records and will be held by the club secretary through this Google Form on a Google Drive.

Contact number/s *

Occupation (s)

Car details (please include model, type, year and registration number)

How did you learn about the club?

SUBS PAYMENT

PLEASE PAY SUBS BY DIRECT CREDIT TO: ANZ a/c 01 0564 0030854 00

Please use your first initial and surname as the reference.

We will confirm acceptance of this application within 10 working days once subscription payment is received.

A copy of your responses will be emailed to the address you provided.

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