Online Membership Application Form

Mountain Miatas of East TN

Primary Member

Date
Name:
Email Address:
Mailing address w/zip code
County of Residence
Home tele
Mobile number
Occupation

Secondary Member
Name of person joining with you, if any
Their email address
Their mailing address w/Zip Code
Their mobile #
Their home tele
Their occupation

Car Info

Year & color of your Miata
Car's name
Is this your first Miata? Explain:
How will you be paying your dues? PayPal or Check?

Create a web form here
 

star New Member Signature Clause

Click HERE to read and download the required waiver that all new members must sign. Bring the signed form with you to the next membership meeting with check for dues attached.
   
Make check or money order payable to "Mountain Miatas of East TN"

Pay Your Dues Online!

Click here: PayPal

 Join up and Have Fun !!