Membership

---- Agreement----

Thank you for your interest in becoming a member of Porsche Club QLD Inc (An association incorporated under the Association Incorporation Act of 1981).

Becoming a member of the Porsche Club Queensland will give you the opportunity to join our motorsport, social activities, and access to the members area.

You don’t have to own or drive a Porsche to join – Associate membership is open to enthusiasts of the Porsche marque who do not have access to a Porsche vehicle on a permanent basis.

Information for Applicants – please read:

General:

Membership year is July 1- June 30,
Renewing memberships must be paid prior to July 30, otherwise a $55 Joining Fee will apply,
PCQ memberships are non refundable and not transferable,
Only current financial full members are eligible to vote at the Annual General Meeting on the second Tuesday of August. Members must be financial prior to voting.
The Committee meets to discuss Membership Applications on the First Thursday of the Month.

Membership Choices:

Single Membership: Covers single member only,
Single Parent Membership: Covers one member (Parent) and children 17 years and under, or full time dependant student/s; requires student I/D card,
Family Membership: Covers two members (as spouse/partner) & children 17 years and under, or full time dependant student; Requires I/D card,
Junior Membership: Covers one member 17 years or under and not part of a family membership.

Payment Choices:

Securely pay by Credit Card or Paypal ONLINE - start by completing the form below,
- Porsche Club QLD does not receive or store any of your Credit Card Details.
Or download the Membership Form (PDF) to complete and Fax/ Mail in at a later date.

Processing:

Applicants should allow 6 weeks for processing.

I wish to apply for membership, and agree to abide by the rules of with Porsche Club QLD Inc.

Joining Fee $55 + Annual Fees of: Single Membership: $110 Single Parent Membership: $110 Family Membership: $132 Junior Membership: $55.

(Membership) Type:

---- Login Credentials ----

Username:

Set as email address:

Password:

Confirm Password:

---- Personal Details ----

Saluation:

First Name:

Surname:

Enter the name to be displayed on your card.

Name On Card:

---- Partner Details ----

(Partner) Saluation:

(Partner) First Name:

(Partner) Surname:

(Partner) Mobile:

(Partner) Email :

Enter the name to be displayed on your partner's card.

(Partner) Name On Card:

---- Postal Address ----

(Postal) Line 1:

(Postal) Line 2:

(Postal) Suburb:

(Postal) Postcode:

(Postal) Country:

(Postal) State:

---- Residential Address ----

Select whether the residental address is the same as the postal address

Same as Postal Address:

(Residential) Line 1:

Please enter a Residential Address (Line 2).

(Residential) Line 2:

(Residential) Suburb:

(Residential) Postcode:

(Residential) Country:

(Residential) State:

---- Contact Details ----

Mobile:

Home:

Work:

Email:

Opt Out of Email Updates:

---- Children ----

(Child1) Name:

(Child1) Date of Birth:

Select Date

(Child2) Name:

(Child2) Date of Birth:

Select Date

(Child3) Name:

(Child3) Date of Birth:

Select Date

(Child4) Name:

(Child4) Date of Birth:

Select Date

(Child5) Name:

(Child5) Date of Birth:

Select Date

---- Vehicles ----

Please select if you have access to a Porsche.

Do you have access to a Porsche?:

---- Vehicle 1----

(Vehicle 1) Make (Default: Porsche):

(Vehicle1) Model:

(Vehicle1) Note:

(Vehicle1) Year:

(Vehicle1) Engine Capacity:

Enter your vehicle's Registration Log Book ID.

(Vehicle1) Registration Log Book ID:

(Vehicle1) Colour:

Please enter a value for the field (Vehicle1).

(Vehicle1) Registration (Optional):

(Vehicle1) Race Number (Optional):

(Vehicle1) Power in Kw (Optional):

Please enter a value for the field (Vehicle1) Weight in Kg.

(Vehicle1) Weight in Kg (Optional):

Please enter a value for the field (Vehicle 1) Turbo Charged.

(Vehicle1) Turbo Charged (Optional):

Please enter a value for the field (Vehicle 1) Tyres.

(Vehicle1) Tyres (Optional):

Please enter a value for the field (Vehicle1) Club Member Vehicle Shared With.

(Vehicle1) Club Member Vehicle Shared With (Optional):

Please enter a value for the field (Vehicle 1) The Vehicle is Modified.

(Vehicle1) The Vehicle is Modified (Optional):

Please enter a value for the field (Vehicle 1) P/W.

(Vehicle1) P/W (Optional):

Please enter a value for the field (Vehicle 1) Class.

(Vehicle1) Class (Optional):

Please check this checkbox if you wish to enter your second vehicle details

Vehicle 2 Details:

Please check this checkbox if you wish to enter the details of your Competition Vehicle 1

Competition Vehicle 1 Details:

Please check this checkbox if you wish to enter the details of your Competition Vehicle 2

Competition Vehicle 2 Details:

Motorsport Competition - Complete if you wish to participate in Motorsport Events

---- Circuit History ----

Please select if you have raceway experience

Queensland Raceway Experience:

Lakeside Experience:

Morgan Park Experience:

Mt Cotton Experience:

---- Licences ----

Drivers License Number:

Drivers License Expiry:

Select Date

Cams License Number:

Cams License Expiry:

Select Date

AASA License Number:

AASA License Expiry:

Select Date

---- Club Members Lap Timer/Transponder ----

Lap Timer:

Transponder ID:

---- Business Directory Listing ----

Business Category:

Locale:

Business Name:

Website:

Contact No:

By lodging this application for membership, you acknowledge that you agree to abide by the Rules of Porsche Club QLD Inc.

Please ensure that you have entered all information accurately, in particular your email address, so that we may contact you in response to your application.

I agree to abide by the rules of Porsche Club Queensland: