Dues are $20.00 per year.  Membership runs for 12 month (January through December)
New members will be pro-rated at $1.70 per month through the end of the year.

To confirm your membership in the Mid-GA Miata Club, please complete the following:

Name

Spouse/Significant Other

Street address

City/State/zip

Phone                                                                            Cell Phone

Email

Miata Year                                         Package                                       Color

IMPORTANT:  PLEASE READ THE FOLLOWING CAREFULLY BEFORE MEMBER AND
SPOUSE/SIGNIFICANT OTHER SIGN THE FORM.

WITH YOUR SIGNATURE (S) YOU AGREE AND ACCEPT THE FOLLOWING STATEMENTS
AND CONDITIONS:  As a member of the Middle Georgia Miata Club, I agree to obey all traffic laws, including speed limits, and set a positive example for other drivers.  I acknowledge that any driving event, whether on a public road or on a track, involves danger and risk.  I will not hold the Middle Georgia Miata Club, or its officers responsible for any accident, mishap, or injury that may occur  during any Middle Georgia Miata Club meeting, event or activity, or during travel proceeding or following such meeting or activity.

SIGNED (1)                                                                                                 DATE

SIGNED (2)                                                                                                 DATE

ENTERING YOU NAME AND DATE ABOVE WILL BE CONSIDERED AS YOUR AGREEMENT .

CLICK HERE TO SUBMIT FORM VIA EMAIL
Otherwise please sign, then print and mail the form along with your check made payable to the
Mid-GA Miata Club, to one of the following:

                                                       Barbara Marshall, Treasure
                                                           562 Pierce Drive W
                                                             Macon, GA 31204