NMC Application FormPlease enable JavaScript in your browser to complete this form.APPLICANT INFORMATIONFirst 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 NameCo- Pilot PhoneMiata InformationMiata 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)EmailSubmit Your Application NMC Contact FormPlease enable JavaScript in your browser to complete this form.Select Who You Want To Email: *---Club President - Club Vice PresidentClub TreasurerMembership ChairmanEvents CoordinatorClub SecretaryWebmaster Your Name (required) *Your Email (required) *SubjectYour MessageMessageSubmit