TO JOIN (or
renew) ONLINE WITH CREDIT CARD ON OUR
SECURED SITE
CLICK
HERE!
membership benefits (A membership application in Adobe Acrobat (.pdf)
format is available by clicking here)
Membership
items:
click here
for a change of
address,
click here to add or change a car registration or
click here
to add a shop
recommendation
Fill out, print out and then
mail or FAX:
MAZDA CLUB APPLICATION FORM (new memberor renewal) |
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| NAME: (memb no. if renewing): | |||||
| MAIL - STREET ADDRESS: | |||||
| CITY - STATE- ZIP | |||||
| COUNTRY (if not U.S.A.) | |||||
| PHONE(S): Home: FAX:
Other: email: (needed for eOnlyWay) |
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| One Year | $30 |
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| Two Years | $55 |
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| Three Years (with free t-shirt or tech CD*) |
$80 |
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| One Year (Outside the U.S.A.) | $35 |
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| Two Years (Outside the U.S.A.) | $65 |
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| Three Years (Outside the U.S.A. with free t-shirt or tech CD*) |
$95 |
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| One Year eMembership (receive eOnlyWay and access to Members Only section of website which includes online OnlyWay, tech staff contacts, etc., no membership materials sent via regular mail - this is included with all other memberships) |
$20 |
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| Two Year eMembership (see above for information) |
$35 |
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| Three Year eMembership (with free t-shirt or tech CD*) (see above for information) |
$50 |
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You may pay using
your credit card: |
Visa | MasterCard | Discover |
American Express |
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| Credit Card No:
Expiration Date:
Security Code:
(email address required above if using credit card) |
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| NEW! Technical Sections ($10 + $ 5 S&H) - copies of tech topics published from 1998 to 2007 by MC, indexed, on CD-Rom only in pdf format for PC or Mac | |||||
We accept check or money order payable to the Mazda Club in U.S. funds only. Return this application and enclose payment info to : Mazda Club TO JOIN (or renew) ONLINE THROUGH OUR SECURED AREA CLICK HERE! Comments or other instructions: |
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| OPTIONAL INFORMATION Note: The ownership of an Mazda IS NOT a prerequisite for active membership. If a Mazda is owned, you may want to fill out the form below: | |||||
Year |
Serial # (VIN) |
Model |
Color |
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THE FOLLOWING ARE ALL OPTIONAL INFORMATION: |
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Areas of interest: |
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Service, body or parts shop
info (include type of business, person to
contact, address and phone number): |
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Send picture and/or story
about car: |
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How did you first learn of
the MC?: |
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