Memberships

We welcome you to join the North Island Model A Ford Club!

Memberships

The Current Membership Fees Are:
Single/Family, Annual Membership: $45.00 (includes monthly emailed newsletters)

New Membership Fee: $10.00

Youth Membership Fee (under 22): no charge

Total Single/Family, New Membership: $55.00

Payment to:

By Internet banking:

Account #: 12 3068 0187485 00
North Island Model A Ford Club Inc.
Please include your surname as a reference. Due to changes within the banking systems, we no longer can take cheques. If unable to pay by internet banking, please deposit into club account as above.

NIMAFC Treasurer, P.O. Box 99249, Newmarket, Auckland 1149

Apply Today:

Your Details
Name
First Last
Residential Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Postal Address*
- Same as address above
- I have a different postal address
Postal Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Phone Number*
Secondary Phone Number
Email*
Vehicle Details
Vehicle(s)
Year and Body Style of Vehicle Colour, Registration & Body Numbers (any that apply)

Please list your vehicles with the year and body style of the vehicle, press the [+] button to add more vehicles
I authorise the NORTH ISLAND MODEL A FORD CLUB INC., to include my details on a contact list, circulated to Club members.
- Yes
- No
The Committee reserves the right to refuse any application at its discretion. The above Fees will be refunded in full should the application be declined. The Club’s financial year is 1 September – 31 August.

Offline Application Form

Alternatively you may open/view a .pdf version of this form.

Download Application Form

Year and Body Style of Vehicle	Colour, Registration & Body Numbers (any that apply)

Memberships

Memberships

Payment to:

By Internet banking:

Apply Today:

Your Details

Vehicle Details

Offline Application Form