EmailMeForm
HK HT HG Owners Car Club of SA inc
Membership Application Form
Name
*
First
Last
Membership Type
*
New Member 1 year
New Member 3 year
Renewal
HKTG Club Membership Number
*
Email
*
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
*
Car 1
*
HK
HT
HG
Other
Car 2
HK
HT
HG
Other
Luxury Level
Belmont
Kingswood
Premier
Brougham
Monaro
Other
Luxury Level
Belmont
Kingswood
Premier
Brougham
Monaro
Other
Body Style
Sedan
Ute
Wagon
Coupe
Van
Other
Body Style
Sedan
Ute
Wagon
Coupe
Van
Other
Rego Number
*
Rego Number
Engine Size
eg 186, 307, 350
Engine Size
eg 186, 307, 350
As a member, would you be interested in attending
*
Monthly Meetings
Sunday Cruises
Saturday Night Cruises
Car Shows
Social Events
Volunteering to help at events
select any that may apply
Upload a photo of your car
*
Add File
List any other cars of interst here
I agree to abide by the rules and regulations as stated in the club constitution which can be found on the club website at hktgclubsa.com
*
Tick Box
1 YEAR NEW MEMBERSHIP FEE
*
$55 single new membership
EFT Banking Details
Acc Name HKTG Owners Club SA
BSB 015 259 Acc 467 211 514
use last name as reference
3 YEAR NEW MEMBERSHIP FEE
*
$115 3 year new membership
EFT Banking Details
Acc Name HKTG Owners Club SA
BSB 015 259 Acc 467 211 514
use last name as reference
RENEWAL MEMBERSHIP FEE
*
$30 1 year single renewal
$90 3 year renewal
EFT Banking Details
Acc Name HKTG Owners Club SA
BSB 015 259 Acc 467 211 514
use membership number as reference
POSTAGE
$9.50 Postage of Membership Pack
You can pick up your Membership Pack from any club meeting or event, or get it posted to your address
Conditional Registration
Please select this option if you require Conditional Registration "Club Rego"
*
Please select
Yes
No
$10 Per Log Book Per Year Payable at time of log book issue
Choose a Member's Hat Style (new membership only)
*
Cap
Bucket Hat S-M
Bucket Hat L-XL
Beanie