Application for membership Application for Club Membership Personal DetailsName(Required) First Last Identity Number(Required)Email(Required) Alterantive Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mobile number(Required)Alterantive number(Required)VEHICLE(S) DETAILSVehicle 1 Reg No(Required)Vehicle 1 Colour(Required)Vehicle 1 Make(Required)Vehicle 2 Reg No(Required)Vehicle 2 Colour(Required)Vehicle 2 Make(Required)REQUIRED DOCUMENTATIONYour completed application form must be accompanied by the following documentsUntitled(Required) A copy of your latest account from the Madibeng Municipality OR the first page of your rental agreement A copy of the latest license receipts for your vehicle(s) A copy of your Identity document (*only new applicants) File(Required) Drop files here or Select files Max. file size: 2 MB. DECLERATIONI have received a copy of the club rules via email:(Required) Yes No I hereby declare that the information supplied by me is true and correct.(Required) Yes Date MM slash DD slash YYYY Δ