Membership Form

TCCV Membership Application Form
To submit your Membership Application Form
fill in the form and click the "Submit Form" button.
You will receive an automated response detailing the information you submitted.
Please complete ALL relevant fields. Fields marked * are compulsory.
Use the TAB key or MOUSE to jump from one field to the next.

Personal & Contact Details

* Your Name:

Member Firstname:

Member Surname:

(include a salutation if you wish)

Your Partner's Name (if applicable):

Partner Firstname:

Partner Surname:

(include a salutation if you wish)

* Your Address:

Street:	Postcode:
Suburb / Town:	State:

* Your E-mail Address:

Note: Be sure to use your complete email address.
(e.g. username@domain.com.au)

Your Home Telephone Number:

Your Mobile Telephone Number:

Your preferred name for your badge:

(if different to above)

Please enter at least one of:
Email address, or Home phone or Mobile phone number.

Triumph Details
Model: (eg. TR6, Herald, 2500TC, etc.)	Body Type:	Year:	Reg. No.: (enter Reg No. or 'Unreg')
Transmission:	Paint Colour:	Trim Colour:

Model:	Body Type:	Year:	Reg. No.: (enter Reg No. or 'Unreg')
Transmission:	Paint Colour:	Trim Colour:

Model:	Body Type:	Year:	Reg. No.: (enter Reg No. or 'Unreg')
Transmission:	Paint Colour:	Trim Colour:
To register more Triumphs, use a second Membership Application Form. Type your name and address for identification purposes, and additional car details.

Membership Fee Options
Club Year: 1 July to 30 June All Membership renewals due 30 June The Membership Fee when joining is the total of Joining Fee, Pro-rata Annual Fee, Club Magazine Option, & Partner Name Badge Option Joining Fee: $20 Pro-rata Annual Fee: 1 January to 30 April: $25 \|\| 1 May to 31 December: $50
CLUB MAGAZINE OPTION 1: Hard copy posted to your address each month. OPTION 2: Digital copy downloaded from the Club website.
Enter 'Y' for OPTION 1. (Additional fee of $10 is incurred). Leave BLANK for OPTION 2.
PARTNER NAME BADGE
OPTION 3: Enter 'Y' to order your Partner a name badge. (Additional fee of $10 is incurred).

Suppress Membership Information
Enter 'Y' to EXCLUDE your details from TCCV website listings NOTE: Membership Information on the website is password protected, ONLY visible to TCCV members, and NEVER divulged to any other party.

Please check the form before proceeding to
Membership Fee Calculation

Check not a Robot
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