Membership Application Form I hereby apply to be a member/renew my membership of the Jaguar Drivers’ Club of Canberra Inc. and agree to abide by the rules of the Club. Application type *New member (join)Current member (renew)Member numberContact InformationApplicant's First Name *Applicant's Last Name *Partner's First NamePartner's Last NamePostal address *Suburb *State *Postcode *Residential addressSame as postal addressDifferent to postal addressResidential AddressSuburbStatePostcodeEmail AddressPhone NumberCar InformationModelBody styleColourYearEngine capacityRego numberDo you have another car to include?YesNoModelBody styleColourYearEngine capacityRego numberFees The membership year is a financial year (from 1 July to 30 June)Please select one of the below optionsMembership (including dependents) $70 paHalf year (if joining after December, new members only) $35Quarter year (if joining after March, new members only) $20Please submit this form to be taken to payment information. Submit