Registration Form

To register to be part of our family, a donation of $20 is requested. Your donation helps pay for the running of our web site as well as administrative costs.  As part of our family you will receive 2 stickers as well as being kept informed as to what we’re up to i.e. events etc via the web site.  For those who do not have access to the net, please let us know and we will contact you personally to let you know what's happening.

If your donation is by cheque or money order, please make it out to Brad Jordan as we are not an official club so we will not be able to cash it if it is made out to Tas Torana Owners.  We can also do Direct Deposit so contact us for bank details. Please send registrations addressed to Tas Torana Owners, PO Box 109, Penguin TAS 7316.

Registrations are due on the 1st of October each year and if received after May 31, your registration will also be included in the following year.

OWNER / ENTHUSIAST INFO

Full Name: __________________________________________              Home Phone: _______________________ 

Street Address: ______________________________________              Mobile: _____________________________ 

City / Town: ___________________________    Post Code: ___________

Postal address (if different from above): _______________________________________________________________

E-mail: _____________________________________________       Are you able to access our web site?  Yes / No

CAR DETAILS

Year / Model - Torana (1): ___________________________________________________________________________

Colour: __________________________________    Engine: ____________________

Comments:  ______________________________________________________________________________________

 

Year / Model - Torana (2): ____________________________________________________________________________

Colour: ___________________________________    Engine: ____________________

Comments:  ______________________________________________________________________________________

When registering with Tas Torana Owners, you accept that participants of the group are not responsible or liable for any incidents or accidents which may occur and acknowledge that you participate at your own free will.

 
Signature: ________________________________________________________

 PLEASE NOTE: The information provided is for the Tas Torana Owners administrative use only and will not be passed onto anyone (unless permission is given).  Unless specifically requested not to, cars are usually photographed & filmed during our events for use on the web site etc.  Registration numbers will be deleted from web site photos if requested.