New VAR Registration

Please fill in your details below.

 

Your Details
 
* Type of membership
Single $65
Joint $70
Overseas $80
 
* First Name
(If Joint) Please Type - Both First Names
Middle Name
(If Joint) Please Type - Both Middle Names
* Last Name
(If Joint) Please Type - Both Last Names
 
Phone Number
 
Mobile Number
 
Postal Address
 
Car Details
 
Year of car
(If no car) please type -
Type
A7,12/4, ...
Model Name
 
Chassis Number
 
Engine Number
 
Car/Body Number
 
Registration Plate
 
How long have you owned the car(s)
 
Previous Owner(s)
 
Condition of car(s)
Original
Restored
Replica
Special
Parts
 
Membership Payment
Please place your "name" and "New member" in the reference space if paying via internet banking
 
* Have you sent your payment? Yes
No
 
* Have you been a member before? Yes
No
 
* I agree to the VAR NZ Inc Terms
Please enter your full name(s)

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