Membership Renewal Form

Name
Spouse Name
Your Birthday	(MM/DD/YY)
Your Spouses Birthday	(MM/DD/YY)
Membership Number (This is on your newsletter address label)
Newsletter:	Please check this box if you would prefer to receive your monthly newsletter via E-Mail in Adobe Acrobat format
Triumphs Currently Owned (Not required for membership)
Check here if you DO NOT want your membership information to be made available to other club members in the form of a directory/roster
Check here if you DO NOT want your name, city, cars and email address to be included in our online directory (any variations may be noted in the Comments section
Would you be interested in volunteering your time to help with the operations of the Club?	Yes No
I will be paying via: Visa/MC payment information will be collected after you submit this renewal form.	Online Visa/MC transaction Mailing a check
Please list any changes to your address, phone #, etc
	In submitting this membership application, I agree to abide by club rules, local and national driving regulations at GTA. events. I absolve the Georgia Triumph Association and it's officers from any liability incurred by me at any GTA. club function. I understand any information presented on repair and maintenance of Triumph Motorcars by the GTA. is for informational purposes only and the GTA. will not be held liable for any damages incurred to any automobiles or injuries to persons while performing such techniques.

By pressing the Submit button, you will be renewing your membership in the Georgia Triumph Association. Your renewal will not be officially processed until your renewal payment of $30 has been received. Once you click on the Submit button you will be taken to the confirmation where you be given the opportunity to pay via secure online transaction. You may still mail in your check if you prefer.