Use this form only for membership renewal

Date: ____________________                           TRAC Membership Number: _______

Name: ____________________________________________________________

Spouse or S.O.: ______________________________________________________

Address: ___________________________________________________________

City: _______________________________State: _________ Zip: ______________

Telephone: Home (_____)__________________

E-mail address:_________________________________

Have you added any cars in the last year?

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

Have you joined 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