Member Request

Personal Data

Mr./Mrs.:

Mr. Mrs.

First Name:

Last Name:

Date of Birth
(DD/MM/YYYY):

Marital Status:

Single Married

No. of Children:

Event Interest:

Technical Social Concourse Driving

Facebook:

Instagram:

Twitter:

Contact Information

E-mail:

Telephone:

Mobile number:

Address Data

Address:

PO.Box:

Postal Code:

City:

porsche Owner Information

Model:

Model Year:

Vehicle identification number:

Plate number:

Exterior colour:

Interior colour:

Purchased from:

New Porsche Vehicle from Porsche Centre Jeddah Approved Pre-owned Porsche Vehicle from Porsche Centre Jeddah Other

Car Usage:

Daily Weekends only Infrequently

Maintenance by:

Myself Porsche Centre Other

How did you hear about the club?:

Disclaimer

Membership of Porsche Club Jeddah is granted on the condition that the undersigned releases Porsche Club Jeddah, registered under Porsche Clubs Worldwide in Germany, and its committee members, from all liabilities and claims whatsoever, related to any form of loss, theft, damage, injury or death, to persons, car, property, caused by the undersigned, or a third party, during any Porsche Club Jeddah activity. To become a member you must currently own or have legal access to a Porsche vehicle. Please drive carefully and always obey the traffic laws. I confirm that I will respect the constitution of the association.

I read the above disclaimer and agree with the terms.

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