Membership Application

First Name

Middle Name

Last Name

Username

Password

Confirm Password

There are no public membership products available to purchase at this time. Please login for other possible options.

Member Address

Country

Address 1

Address 2

City/suburb

State

Postcode

Phone Number

Mobile Number

Vehicle Details

Make

Model

Year

Colour

Number Plate

Registered

Yes

Engine

Gearbox

Diff

Modifications

Completion of the online membership application form will initiate membership status.

Members must attend at least three (3) club events before full club registration will be granted. These events may include general meetings, club runs (Rollin’ Rumbles), or any combination thereof.

Members wishing to participate in the NSW Historic Conditional Registration Scheme are required to attend a minimum of three (3) club events during each annual membership period. Compliance with this attendance requirement will qualify the member for renewal of their club registration (historic rego) for the following membership year. Please read the club regulations Historic Conditional Registration Scheme

The Committee reserves the right to revoke any membership if a member conducts themselves in a manner that is not consistent with the values, ethics, and standards of the club.

Members must also read and comply with the club regulations relating to the NSW Historic Conditional Registration Scheme.

I have read, understood, and agree to abide by the terms and conditions of the Regals Mopar Car Club.

I Agree

Membership Application

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