it’s the people!

membership application

Porsche owners who are 18 years of age or older are invited to become members of the PCA. If your Porsche is on order and you do not yet have a VIN number, you can send a copy of your sales order with the application. You may also have a family member or affiliate (non-family) member added to your membership if there is someone who would like to participate in club activities with you. There is no additional charge for this person,

Join the Club.

but they must be 18 years of age or older. Membership is available in one ($46), two ($90) or three year ($132) terms and is payable in U.S. funds by check, Visa, Mastercard or American Express. This includes your subscription to our monthly magazine, Porsche Panorama, the world’s premier publication dedicated to Porsches. It also includes access to the PCA website and its

Join the Club! Whether your interest is in learning about your Porsche, sampling PCA’s extensive menu of driving experiences or just getting together with people who share your passion for the fine automobiles from Zuffenhausen, we invite you to join us.

members-only pages at www.pca.org. A portion of your dues is

Your local PCA Region contact:

returned each year to your assigned local region for

Porsche Club of America For over 55 years, the Porsche Club of America has been dedicated to enhancing the Porsche ownership experience. Social, technical or c o m p e t i t i v e - n o m a t t e r y o u r i n t e re s t , t h e P C A has something to offer every Porsche owner. With over 100,000 members, PCA is the

the support of its activities.

largest single marque car club in the world.

Membership is for one-year, billed annually (unless you paid for multiple years) in the

www.pca.org

month you are accepted as a member. Please note: membership is not transferable nor is any portion of the dues refundable. Complete all sections of the attached application and return it along with your payment. Return directly to the PCA National Office or to your local region contact. You may also apply online by visiting the PCA website at: www.pca.org.

http://bci.pca.org Please send your completed application to: PCA National Office P.O. Box 6400 Columbia, MD 21045 Phone: 410-381-0911 Fax: 410-381-0924 www.pca.org

It’s not just the cars,

PCA Membership Application PCA Membership Application Please type or print neatly. You must own (or co-own) or lease a Porsche and must be 18 years of age or over to apply for membership. You may also apply for membership online at www.pca.org/join Prefix:

Mr.

Mrs.

Ms.

Miss

Share the Experience

Full Name: ___________________________________________

The Porsche Club of America offers driving

Address Line 1:_______________________________________

experience, technical assistance and camaraderie

Address Line 2: _______________________________________

second to none. Our award-winning national magazine, Porsche Panorama, provides a monthly insider’s view on all things Porsche.

City: _________________________________________________

BC State/Province: ________________ Zip Code: _________________ Canada County: ______________________ Country: _________________

Member (optional) Demographics Member(optional) Demographics (optional) Member Demographics

Birthdate: ______________________________________ Birthdate: ________________________ Birthdate: ___________________________________________ Occupation: _____________________________________ Occupation: _______________________ Occupation: __________________________________________ Marital Status:

Marital Married Status: Single Marital Married Status: Single Married

Single

Spouse’s Name: _________________________________ Spouse’s Name: ____________________________ Spouse’s Name: _______________

Name and ______________________________ age of child(ren): Name and_________________________ age of child(ren): ___________ Name and age of child(ren):

______________________________________________ ________________________________ ___________________________________________________

______________________________________________ ________________________________ ___________________________________________________

Family or AffiliateFamily Member or Affiliate Member Family or Affiliate Member

More than one hundred and thirty-nine regions

Home Phone: ________________________________________

throughout the United States, Canada and Puerto

Work Phone: ________________________________________

may designate You a family may designate ORasaffiliate family part of mem your You may designateYou a family OR affiliate member part aofmember your ORasaffiliate This18 membership. person be This18person years must or older. be 18 years membership. Thismembership. person must be yearsmust or older.

Rico permit you to choose from a wide range of

Fax: _______________________________________________

_____________________________ Family___________________________________ Member Name: Family Member Name: _______________ Family Member Name:

Porsche activities including club racing, driver

E-Mail: _____________________________________________

___________________________ Affiliate MemberorName: Affiliate Member Name: _____________ _________________________________ or Affiliate MemberorName:

education, restoration and technical sessions,

Relationship to Member: Relationship to Sibling Member: Child Spouse Sibling Ch Relationship to Member: Spouse Child Spouse

concours d’elegance and an annual national

PCA Region Designation

convention that is the ultimate Porsche vacation!

Region:_____________________________________________ British Columbia Interior (BCIR) *Your region will be assigned based on where you live, however you can specifically request to belong to any one of our PCA regions.

The Porsche experience reaches across the cars

Other Frie FriendParentOther FriendParent

Payment Information Payment Information Payment Information Term of Membership: Term of Membership: Term of Membership:

and the years to people, binding together the family whose name the cars bear, the men and women

Car Information - Porsches Only (*required information)

who design and build them and those across the

If you own more than two Porsches you can add them to your PCA profile online.

world who drive and cherish them.

Porsche #1

Membership

Parent

Year ($42) ($46) 11 Year

($90) 12 Year Years($42) ($82)

Years ($132) 2133Years Year years ($42) ($82) ($120) 23Years years($82) ($120)

3y

*Year: _________ *Model: __________________

*Some regions also *Some require regions additional also require regional additional membership reg *Some regions also require additional regional membership fees. These fees are assessed fees directly are assessed by the regions. directly by These fees are assessed directly byThese the regions.

*Body Type: ________________ *Color: __________________

Check enclosed (payable Check enclosed to: Porsche (payable Check Club enclosed ofto:America) Porsche (payable Club ofto: America) Porsche Cl

*VIN #: _____________________________________________

Visa

Visa Mastercard

Mastercard Visa Mastercard Express American Ex American Express American

License Plate #: _______________ License Plate State: ________

Card #: ________________________________________ Card #: __________________________ Card #: ______________________________________________

The Porsche Club of America was founded in 1955

Car Used:

Daily

Pleasure

with the following objectives in mind: to promote

Expiration Date: __________________________________ Expiration Date: ____________________ Expiration Date: ________________________________________

Maintenance:

Self

Dealer

the highest standards of courtesy and safety of

Average number of miles driven annually: ____________________

the roads; to enjoy and share the good will and

Independent

fellowship engendered by owning a Porsche; to

Porsche #2

maintain the highest standards of operation and

*Body Type: ________________ *Color: __________________

performance of the marque; to establish a mutually

*VIN #: _____________________________________________

beneficial relationship with the Porsche factory, dealers and other service sources; to exchange ideas with other Porsche clubs throughout the world; and to establish mutually cooperative relationships with other sports car clubs. Membership in the PCA will add to your enjoyment of owning one of the finest automobiles in the world.

*Year: _________ *Model: __________________

License Plate #: _______________ License Plate State: ________ Car Used:

Daily

Pleasure

Maintenance:

Self

Dealer

Independent

Average number of miles driven annually: ____________________

Name as it _______________________________ AppearsName on Card: as it_________________________ Appears on Card: ___________ Name as it Appears on Card:

Signature: ______________________________________ Signature: ________________________ Signature: ____________________________________________

For Overseas Members: For delivery Overseas Expedited mail delivery Expedited of your mail Porsch deli For Overseas Members: Expedited mail ofMembers: your Porsche Panorama is available Panorama for an isadditional available Panorama $30 for an peradditional isyear. available Please $30 forcheck an peradditional year. Please $30c box this if youservice wish toand use box this if you service wish to anduse add this$30 service to your andpaymen add $ box if you wish to use add $30 to your payment.

How did you learn Howabout did you PCA? learn How about did you PCA? learn about PCA?

______________________________________________ ________________________________ ___________________________________________________

______________________________________________ ________________________________ ___________________________________________________

___________________________________________________ ______________________________________________ ________________________________

The information collected on this application is used exclusively by the Porsche Club of America (PCA) and its regions for conduct of its activities. PCA does not release any individual membership information to any one or any organization outside of PCA and its regions. Memberships are non-transferable nor are any portion of the dues refundable.

PCA Membership Mail-in Application 2012 -- BCIR.pdf

There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item.

2MB Sizes 0 Downloads 147 Views

Recommend Documents

2012 One Year Membership Application
If left blank, you will be registered unattached (UNAT). Email(s). Primary ... MASTERS SWIMMING COMMITTEES, THE CLUBS, HOST FACILITIES, MEET ...

MeMbership application
please complete and forward to aFcoM: 742 e. chapman ave., orange, ca 92866 or fax (714) 997-9743. ®. NAME: TITLE: COMPANY: ADDRESS: CITY/ST/ZIP:.

membership application
MEMBERSHIP APPLICATION. PERSONAL INFORMATION. Name: Institutional affiliation and position (if any):. Address: E‐mail address: We will never pass personal information (incl. contact details) on to third parties. MEMBERSHIP PACKAGE. Please tick appr

membership application
or fax (714) 997-9743. ®. NAME: TITLE: ... CITY/ST/ZIP: PHONE: FAX: EMAIL: PAYMENT: PAYMENT METHOD. Check Enclosed ... St. Louis (Gateway). $25.00.

membership application
Email Address: Date of Birth: Parent/Guardian's Driver's Licence Number: Expiry Date: Minor's Target Pistol Number: ... Signature of Parent or Guardian: ...

Membership Application & Levels.pdf
Membership Investment $200 $1,000 $2,500 $5,000 $10,000. Page 2 of 2. Membership Application & Levels.pdf. Membership Application & Levels.pdf. Open.

TLCA Membership Application -
A service charge of. $15.00 will be assessed for all returned checks. Comments to Staff: Yes! I want TLCA to automatically renew my membership every year.

application for membership
Associació Catalana de. Mares, Pares i Tutors d'Infants Anglòfons. English-Speaking. Children's Parents' and. Guardians' Association of Catalonia.

application for membership
By signing this application, I authorize the Association, (including local, state and national) or their subsidiaries or representatives to fax, e-mail, telephone or ...

Application for Membership
original application to the International Executive Office of the Fraternity within ten days of the initiation ... Permanent Phone Number ... Executive Office Use Only.

Membership Application Form - The IET
opportunities overseas or, where required, to enable the IET to meet any legal or other legitimate obligations in that country. IET products and services are ...

ICC, MEMBERSHIP APPLICATION FORM.pdf
There was a problem loading this page. ICC, MEMBERSHIP APPLICATION FORM.pdf. ICC, MEMBERSHIP APPLICATION FORM.pdf. Open. Extract. Open with.

Farrand Membership Application and Account Permission.pdf ...
Farrand Membership Application and Account Permission.pdf. Farrand Membership Application and Account Permission.pdf. Open. Extract. Open with. Sign In.

ICC, MEMBERSHIP APPLICATION FORM.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. ICC, MEMBERSHIP APPLICATION FORM.pdf. ICC, MEMBERSHIP APPLICATION FORM.pdf. Open. Extract. Open with. Sign I

membership application - Lawrence County Ohio Genealogical Society
two individuals at the same address. (Can be spouses or parent and child.) Renewals are due by January 31 each year. Please print this form and sub- mit with your dues. Please print information or use address label where ap- plicable. Members receive

Membership Reinstatement Application Form.pdf
... years old submitting $49.00 dues. OR. I am at least 65 years old submitting $45.00 senior discount dues. My birthdate (required for senior dues: dd/mm/yyyy): ...

2013 Membership Application Form -
Home Country/State: Undergrad ... Musical Director and the committee, and that failure to pass an audition will result in the termination of membership. Should.

APPLICATION FOR STUDENT MEMBERSHIP SOCIETY OF ...
APPLICATION FOR STUDENT MEMBERSHIP. SOCIETY OF PETROLEUM GEOPHYSICISTS (REGD.) 1, OLD CSD Building, KDMIPE Campus. Kaulagarh ...

Club Membership Application Form.pdf
Club Membership Application Form.pdf. Club Membership Application Form.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Club Membership ...

20151109 U3A Wheelers Hill Membership Application Form.pdf ...
20151109 U3A Wheelers Hill Membership Application Form.pdf. 20151109 U3A Wheelers Hill Membership Application Form.pdf. Open. Extract. Open with.

Membership Application 14-15.pdf
Wednesday, Oct. 8, 2014. Make and Take. Gulf Coast State College. 4:00-6:00 p.m.. Tuesday, January 20, 2015. Pre-Conference Breakfast. Golden Corral. 7:30-9:00 a.m.. Saturday, January 31, 2015. 30th Annual Language Arts Conference. “Magical Adventu

Application for Membership - 2018
P.O. Box 50649, Musgrave 4062, DURBAN. Email: [email protected]. Website: http://kzn.mcsa.org.za. Bank a/c: Standard Bank, Musgrave Rd, Durban. A/c No: ...

Membership Application Form 2017.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Membership ...

CALL FOR APPLICATION FIRST TIME ATTENDEE MEMBERSHIP ...
CALL FOR APPLICATION FIRST TIME ATTENDEE MEMBERSHIP AND REGISTRATION FEE WAIVERS .pdf. CALL FOR APPLICATION FIRST TIME ...