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 #:
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:
	Vehicle Information
Year & color of your Miata:
Car's name:
Is this your first Miata? Explain:
	Payment of Dues
Note your method of payment: [Check or PayPal]

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

Click to read our Thank You!