Membership Application Form For Membership Renewal

Get more fun out of your car with the Mercedes-Benz Club

Annual Membership Fees ending 31st March

With the introduction of an electronic version of our BeNZscene magazine, we are able to offer two annual membership fee options.

  • Option 1 – with BeNZscene Print Magazine (hard copy)
    Members joining 1 April to 30 September    $ 100
    Members joining 1 October to 31 March      $  60
  • Option 2 – with BeNZscene eMagazine (electronic copy)
    Members joining 1 April to 30 September     $  75
    Members joining 1 October to 31 March       $  40

Either print and fill in the membership form or fill in your details in the form below.

Applicant's name (required)

Email (required)

Partner's/spouse's name

Address (required)

Post code

Occupation

Phone

Mobile

VEHICLE DETAILS: Car 1

Model

Year

Colour

Regd. No

VEHICLE DETAILS: Car 2

Model

Year

Colour

Regd. No

How did you hear about our club?
FriendInternetOther

If other: (please specify)

Payment option (required)
ChequeDirect Credit

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