MR2 Club QLD Membership Registration

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Name* This field is required.
First Name
Last Name
2
Which Model MR2 Do You Own* This field is required.
AW11
SW20
ZZ30
Other
3
E-mail* This field is required.
4
Phone Number:This can be used if we loose you on a club run, or need to contact you regarding membership matters.
Phone
5
Address:* This field is required.This will be used to send club related materials.
Street Address
Street Address Line 2
Suburb
State
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Emergency Contact Name & Number* This field is required.In the unlikely event of an emergency while out with the club, please provide your emergency contact person.
Name / Phone Number
7
What Is Your Age?
8
Club activities that will be of interest?We have a range of different club activities that try and cater for all members, let us know which you think you will take part in.
Club Runs - Day
Club Track Days
Go-Karts
Social BBQ's
Weekends Away
Club Runs - Night
Tech Days - Learn About Your MR2
Inter-Club Track Events
9
Tell us a little about your MR2?* This field is required.Please give us a little info about your current MR2, and if it's your first, or have been an owner of many over the years. We love to hear about members cars, if they are in factory condition, or highly modified.
Huge
Large
Normal
Small
Ok
Ok
10
Show us a photo of your MR2We like to introduce new members of the club on our Facebook page, if you don't mind sharing a pic of your MR2, please upload it for us, so we can use it in our new member welcome post on our Facebook page.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Where did you hear about the club?
A Friend or Current Member
Club Card Left On Car
Facebook
Other
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MR2 Club Queensland Membership PeriodMembership fees to be a part of the QLD MR2 Club are annual recurring in Aug each year. Below is the cost involved to be a member of the club in 2022. All fees collected go towards club events, CAMS affiliation & general membership benefits.
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MR2 Club QLD Membership - 2022
$50.00AUD for each year
SUBSCRIBE
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Like Our Facebook PageSo you can keep up to date on club events, find photos from cruises and all things related to the QLD MR2 Club, please like our Facebook page below.
14
Membership NumberBelow will be your unique membership number assigned to youafter completing this form.
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Once you submit this membership application, we will be in contact via email to provide our bank account details to pay your membership, along with some extra details like how to join the clubs Facebook group chat.

Thank you, and we look forward to having you be a part of the club!
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