Membership

Please review the print version of our membership registration form before filling out the form below.

Purpose

RenewalNew Member
Name*

First NameLast Name
Spouse or Other
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Cell or Business Phone
Please enter a valid phone number.
Email
example@example.com
MG Information*
Get Involved!

Check the activities below in which you have an interest.
Activities

Tours/RalliesTech Sessions/Tech HelpCar ShowsMembershipEvent HostingNewsletter/ArticlesAdvertising/RegaliaOther
Waiver of Liability*

By completing this application, you hereby agree to hold this Chesapeake Chapter and the NEMGTR harmless from all actions and claims arising from any participation by you or persons accompanying you in any Chapter event or activity.
Dues
How will you pay dues?

With a check by mailOnline payment of $12 for one yearOnline payment of $30 for three years
Should be Empty:

MG T Chesapeake Membership