A Bravenet.com Contact Form

Membership Renewal - CLUB MIATA VANCOUVER ISLAND

Thanks for renewing your membership. Please fill in your name and indicate if any other information currently on our records has changed. By completing and submitting this Application, you hereby acknowledge and agree to the terms of Membership in the Constitution and in the Privacy Statement set out by Club Miata Vancouver Island. If you have any questions, please contact any member of our club's Executive or email membership@clubmiata.net.

Name: *

Mailing Address:

Phone Number:

eMail Address

MIATA / MX-5 INFO

Please advise if you want your info published in the club Roster. * NO, I DO NOT want my information listed in the Roster. Yes, I agree to have my personal and Miata information included in the club Roster.

Members of our club may take pictures of the runs and socials. Please indicate whether you agree to have your picture shared and /or posted on our club website. * YES, I allow myself and my car to be in shared or posted photos within the club including the website. NO, DO NOT share or post any pictures of myself or my car. I WILL NOT TAKE PART IN GROUP PHOTOS.

We welcome any Comments or Helpful Tips for your Club (i.e.: ideas for new runs or socials)