Triumph Sports Owners Association - SA Inc.
PO Box 192 Glenside SA 5065
MEMBERSHIP APPLICATION FORM
On the marque & up to speed

                      (YOU CAN USE THIS AS A JOINT FORM FOR FULL OR SOCIAL MEMBERS)

I, Title………..First Name…………………………………….Last Name…………………………………………………….

OF ……………………………………………………………………………………………………….…………………..……

……………………………………………………………………………………..POSTCODE………………………….……

PHONE (HOME)………………………………………....PHONE (BUSINESS)…………………………………………….

E-MAIL ADDRESS ……………………………………………………………………………………………………………..

DATE OF BIRTH (if under 21)……….………………OCCUPATION or SKILL…………………………………………………………

SOCIAL MEMBER’S NAME(S) (if applicable)…………………………………………….    …………………………………………………  

APPLY FOR MEMBERSHIP                     RENEW MEMBERSHIP   (tick one)                     OF TSOA (SA) INC

ANNUAL SUBSCRIPTION COST: 

FULL MEMBER:   Optional - You may pay one, two or three years in advance.     UNDER 21 $25                ADULT $65

ASSOCIATE MEMBER:  Optional – You may pay one, two or three years in advance.                                                      $65                                              

SOCIAL MEMBER: Full member’s partner / family. Social members do not receive TRAK magazine                                         $25 

JOINING FEE: For new members or members who have not renewed their subs by September 30th                                           $25
                             Includes engraved TSOA members name badge.  There is no joining fee for Social members.  			

PREFERRED GIVEN NAME(S) FOR MEMBERSHIP BADGE(S)   ……………..………………………..     …………………………………….

I ENCLOSE:              or debit my        Bank Card             Visa Card           Master Card

Full Membership        $………………….                        Card Number:
			                                                                                                                           
Social Membership    $………………….                       …  …  …  …     …  …  …  …     …  …  …  …     …  …  …  …  
			
Joining Fee                $………………….                        Expiry Date: …………………………………………………….

                                                                                  Name of Card Holder: …………………………………………
		
TOTAL               $_________                 …. …..………………………………………………………………                

SIGNATURE ………...………………………………………………….                 DATE……………………………………

IF ACCEPTED AS A MEMBER I AGREE TO ABIDE BY THE CONSTITUTION AND ANY 
RULES OR REGULATIONS SET BY THE COMMITTEE OF THE ASSOCIATION.

ALL SUBSCRIPTIONS ARE DUE ON 30th of JUNE.

PLEASE COMPLETE THE DETAILS OF YOUR CAR ON THE FORM BELOW AND ENCLOSE PAYMENT 
TO THE ABOVE ADDRESS 

TSOA SECRETARY TO COMPLETE:      CARD SENT……………                                    RECEIPT NO …………………………………….

MAILING LIST UPDATED …………………………………………….                                   MEMBERSHIP NO ………………………………

 
TYPE OF TRIUMPH          ………………………………………..           YEAR …………………

REGISTRATION NO         ………………………………………..

COMMISSION NO            ………………………………………..

COLOUR                          …………………………………………

MODIFICATIONS             ……………………………………………………………………………..

PREVIOUS OWNER(S)   ……………………………………………………………………………..

TYPE OF TRIUMPH          ……………………………………….            YEAR …………………

REGISTRATION NO         ………………………………………..

COMMISSION NO            ………………………………………..

COLOUR                          …………………………………………

MODIFICATIONS             ……………………………………………………………………………...

PREVIOUS OWNER(S)   ……………………………………………………………………………...

TYPE OF TRIUMPH          ………………………………………..           YEAR ………………….   

REGISTRATION NO         ………………………………………..

COMMISSION NO            ………………………………………..

COLOUR                          …………………………………………

MODIFICATIONS             ……………………………………………………………………………..

PREVIOUS OWNER(S)   ……………………………………………………………………………...

TYPE OF TRIUMPH          ………………………………………..           YEAR …………………. 

REGISTRATION NO         ………………………………………..

COMMISSION NO            ………………………………………..

COLOUR                          …………………………………………

MODIFICATIONS             ……………………………………………………………………………..

PREVIOUS OWNER(S)   ……………………………………………………………………………..