New Membership Application

Georgia Triumph Association Membership Application

We now accept

via

Secure Online Transactions

Name

Your Birthday      (MM/DD/YY)

Spouse Name

Your Spouses Birthday      (MM/DD/YY)

Address Line 1

Address Line 2

City

State & Zip Code

Primary Daytime Phone

Secondary Evening Phone

E-Mail Address

Newsletter Newsletter will be E-Mailed to you using Adobe Acrobat format.
       Uncheck this box if you would prefer to have a hard copy mailed to you instead.

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

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

How did you hear about us? Club Member      Club Event      Parts/Body Shop      Newsletter
Newspaper      Internet      Other

Please enter your comments, questions or just tell us a little about yourself.

I will be paying via:

Visa/MC payment information will be collected after you submit this form.
Online Visa/MC transaction    Mailing a check

In submitting this membership application, I agree to abide by club rules,
local and national driving regulations at G.T.A. events. I absolve the
Georgia Triumph Association and it's officers from any liability incurred by
me at any G.T.A. club function. I understand any information presented on
repair and maintenance of Triumph Motorcars by the G.T.A. is for informational
purposes only and the G.T.A. will not be held liable for any damages incurred to
any automobiles or injuries to persons while performing such techniques.

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

Thanks!

OR for those who prefer to mail in checks, the GTA mailing address is:

GTA
P.O. Box 3198
CUMMING, GA 30028

HOME

Name
Your Birthday	(MM/DD/YY)
Spouse Name
Your Spouses Birthday	(MM/DD/YY)
Address Line 1
Address Line 2
City
State & Zip Code
Primary Daytime Phone
Secondary Evening Phone
E-Mail Address
Newsletter	Newsletter will be E-Mailed to you using Adobe Acrobat format. Uncheck this box if you would prefer to have a hard copy mailed to you instead.
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
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
How did you hear about us?	Club Member Club Event Parts/Body Shop Newsletter Newspaper Internet Other
Please enter your comments, questions or just tell us a little about yourself.
I will be paying via: Visa/MC payment information will be collected after you submit this form.	Online Visa/MC transaction Mailing a check
	In submitting this membership application, I agree to abide by club rules, local and national driving regulations at G.T.A. events. I absolve the Georgia Triumph Association and it's officers from any liability incurred by me at any G.T.A. club function. I understand any information presented on repair and maintenance of Triumph Motorcars by the G.T.A. is for informational purposes only and the G.T.A. will not be held liable for any damages incurred to any automobiles or injuries to persons while performing such techniques.