Own a Porsche? Then join the club by filling up this simple form:

Salutation * Mr. Mrs. Ms.

Title

First Name *

Last Name *

Birthday . .

Postal Address *

Address 2

Street

Zip Code *

City *

State

Country *

E-Mail *

Phone *

Cell Phone *

Fax

Model *

Model Year *

Registration No. *

Colour *

Non-refundable Fees

Joining Fee: RM 500
Annual Fee: RM 200

Please make crossed cheque payable to "Porsche Club Malaysia" and send to
 
Porsche Centre Bukit Bintang
Attention: Porsche Club Malaysia
207, Jalan Bukit Bintang
55100 Kuala Lumpur
Malaysia

Phone +60(3) 2141 6911
Fax +60(3) 2141 6811

Please provide 2 copies of photographs for membership card. Must send a copy of registration card of porsche together with payment. Also a letter to authorize use of porsche if porsche not registered under your personal name.