Georgia Triumph Association

ADDRESS INFO
Membership Type *	Membership ($30.00 for each year)
Payment System *	PayPal secure credit card payment Offline Payment Please make check payable to Georgia Triumph Association and mail to P.O. Box 3198, Cumming, GA 30028
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 6 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 6 or more characters
Confirm your password * Enter password again
Country*
State*
City*
Street*
ZIP*
Your Birthdate (MM/DD/YY)
Spouse Name
Spouse Birthdate (MM/DD/YY)
Daytime Phone
Evening Phone
Occupation
Triumphs Currently Owned (Not required for membership)
VTR Member?	Yes No
VTR Member Number
Other Club Affiliation?
Are you interested in?	Tech Sessions Autocrosses Rallyes Driving Tours Social Events Car Shows Other
Directory Inclusion 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	Yes No
Online Inclusion 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	Yes No
Volunteer Would you be interested in volunteering your time to help with the operations of the Club?	Yes No
How did you hear about us?	Club Member Club Event Parts/Body Shop Newsletter Newspaper Internet Other
Comments Please enter your comments, questions or just tell us a little about yourself.

Quick Links

Officially Chartered Chapter
of the Vintage Triumph Register