NMC Application Form – Nutmeg Miata Club

It’s Easy To Join NMC!
Club membership is open to anyone who owns or is in the process of purchasing a Miata.

Fill out this application form, submit your dues payment and you’re in!

Fill out and submit this form online. You will receive an email with instructions for making the dues payment.
You will be emailed your website username and password after your dues payment has been processed
Log-in to our website, open your members section page and join in our activities.

Dues Payment Instructions Dues payment instructions will be emailed upon submission of the form. Payment of the $30.00 annual dues must be submitted within 7 days.
NOTE: A membership application submitted in the months of September, October, November pays a partial year dues of $15.00 ( The following year, $30.00 is due in April)

Nutmeg Miata Club Application

APPLICANT INFORMATION

First Name(required) *

Last Name(required) *

Your Email (required) *

Contact Phone # (required) *

Alternate Phone #

Street Address (required) *

City (required) *

State (required) *

Zip Code (required) *

Co-Pilot Name

Co- Pilot Phone

Miata Information

Miata Year (required) *

Miata Color (required) *

Miata License Plate (required) *

Anything else you would like to tell us?

Nutmeg Miata Club Terms Of Membership

All members of the Nutmeg Miata Club, Inc. agree to the following:

Maintain minimum automobile insurance coverage on their vehicles while in attendance of club meetings/events.
Agree that the Nutmeg Miata Club, Inc. is not responsible/liable for loss/damage to vehicles and is not responsible for personal/physical injury to members while attending club meetings/events/functions.
Agree to abide by all rules/policies/procedures established by the club officers/members of the Nutmeg Miata Club, Inc. for the safety, protection and enjoyment of its members and vehicles.

I agree to the terms of membership (required)
My Co-pilot agrees to the terms of membership (required)