test forms

NMC Application Form

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 Year (required) *

Miata Color (required) *

Miata License Plate (required) *

Anything else you would like to tell us?

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.

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