TRiumphs Around the Chesapeake, Ltd. TRAC
Membership Application

(Please print out this form)

Date: ____________________ 

Name: ____________________________________________________________

Spouse or S.O.: ______________________________________________________

Address: ___________________________________________________________

City: _______________________________State: _________ Zip: ______________

Telephone: Home (_____)__________________

E-mail address:_________________________________

CARS OWNED:  (Triumph ownership is not required to join.)

Year:________ Model:_____________ Colour:_____________ VIN:_____________
Year:________ Model:_____________ Colour:_____________ VIN:_____________
Year:________ Model:_____________ Colour:_____________ VIN:_____________
Year:________ Model:_____________ Colour:_____________ VIN:_____________

Are you a member of a National Triumph or other British Car organization, for example, Vintage Triumph Registry, 6-Pack, etc?  If yes, please list these memberships below:

Organization: _________________________________  Member Number___________

Organization: _________________________________  Member Number___________

  • ANNUAL INDIVIDUAL/FAMILY MEMBERSHIP DUES: $20.00 per year
Membership entitles you to full club privileges and access to TRAC's Member Website.

(Please make checks payable to "TRAC".)

Please mail this form along with your check to:

 TRAC
C/O Kathy Hagert
102 Spry Island Road
Joppa, MD  21085