On-line Membership Application

This form consists of a number of pages/steps, Please complete all required fields (marked with *), then click the SUBMIT button. A confirmation notice will then appear on your screen.

The Club's Membership Secretary will be in contact with you, within a day or two and informing you how to pay your membership fee.

If you have difficulty completing this form, use the Contact Us form to Contact the Club.
Single or Family Membership*
- Primary (single) Membership
- Family Membership (Primary Member + Spouse/Partner)
- Family Membership (Primary Member + Spouse/Partner + Children)
Please indicate if this application is for a single person, a couple or a family (including children under 18 year of age), where all persons reside at the same address.

The Annual Membership fee is $70.00 (or if joining after December 31, then a part fee of $35 applies), plus a Joining Fee of $20.00 for each person mentioned on the application.

New Member(s) Name(s)
Applicants Name*
First Last
The name you wish to appear on your Club Badge (if different to the Applicant's Name)
Spouse / Partner's Name*
If there is no spouse /partner write "Nil" in both name fields.
First Last
The name you wish to appear on this person's Club Badge (if different to the above Member's Name)
Number of children (under 18) to become members?*
Please enter a number from 1 to 5.
1st Child's Name*
First Last
2nd Child's Name*
First Last
3rd Child's Name*
First Last
4th Child's Name*
First Last
5th Child's Name*
First Last

Please provide the relevant information in each field below.
Cars*
Include all letters, numbers, spaces and symbols. To add another Car, click the "+" sign at end of row. If you have no car, please just enter "no Car" in Make field.
Make Model Body Type Year Built Colour Registration # VIN/Chassis # Engine #
Modifications / Other information
If multiple cars are listed above, indicate which car this information applies to.
I would like to apply for either QLD or NSW Concessional Registration for this vehicle?*
- Yes
- No
Restricted use applies to vehicles with Concessional Registration. Information on Conditional Registration use can be found on either the Club's webpage, in the Club's By-Laws or the NSW and QLD vehicle Registration webpages.

Photography consent*
- I/We agree that unless specifically stated prior to the start of a club event, permission is considered given that any photos and videos taken of members and their vehicles at club events may be used in publications, on websites and/or other social media.
Membership agreement*
- I/ We hereby apply for membership of the Gold Coast MG Car Club and agree, if approved, to abide by the Club Constitution and By-Laws.
Enter your name(s) (only those over 18 years) to signify you have read and agree with the above statement.*
Please Date your application*

DD
MM
YYYY
Thank you for completing the Gold Coast MG Car Club On-Line Membership Application.

You will be contacted by the Club's Membership Secretary in the next couple of days, who will provide detail of how you can pay your membership fee.

Make	Model	Body Type	Year Built	Colour	Registration #	VIN/Chassis #	Engine #