Membership Checkout Membership Information You have selected the Honorary Member membership level.The price for membership is R 0.00 now.Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in hereFamily Information (Spouse and Children) Spouse Title Mr.Mrs.Miss.Ms.Dr.Prof.Rev.Adv.Hon. Spouse - Name and Surname Spouse - Date of Birth Spouse - ID Number Spouse - Email Spouse - MSA License No Spouse - Cell No Spouse -Work No Spouse- Fax No Spouse -Home No 1st Child - Name and Surname 1st Child - Date of Birth 1st Child - Gender BoyGirl 1st Child - Contact No 2nd Child - Name and Surname 2nd Child - Date of Birth 2nd Child - Gender BoyGirl 2nd Child - Contact Number 3rd Child - Name and Surname 3rd Child - Date of Birth 3rd Child - Gender BoyGirl 3rd Child - Contact Number Main Member Information Title Mr.Mrs.Miss.Ms.Dr.Prof.Rev.Adv.Hon. Date of Birth Occupation - Industry Type ID Number MSA License No Work No Fax No Home No Membership Starting Date Emergency / Medical Information Medical Aid Name/Scheme - Member Medical Aid Number - Member Medical Aid Name/Scheme - Spouse Medical Aid Number - Spouse Blood Type - Main Member Blood Type - Spouse Any Medical Condition - Member Any Medical Condition - Spouse Emergency Contact Person - Name and Surname If your spouse’s details have already been submitted, please avoid adding them again as your emergency contact and instead provide an additional contact person, in case of emergency where both members (you and your spouse) are involved in an incident. Emergency Contact Person - Phone Number 2nd Emergency Contact Person - Name and Surname If your spouse’s details have already been submitted, please avoid adding them again as your emergency contact and instead provide an additional contact person, in case of emergency where both members (you and your spouse) are involved in an incident. 2nd Emergency Contact - Phone Number Vehicle Information Vehicle 1 - Model 356911911 Carrera911 Carrera S911 Carrera 4911 Carrera 4S911 Targa911 Turbo911 Turbo S911 GT3911 GT3 RS911 GT2911 GT2 RS911 Speedster911 R911 Dakar911 Sport Classic912914918 Spyder959Boxster718 BoxsterBoxster SpyderCayman718 CaymanCayman GT4Cayman GT4 RSCarrera GT924928944968CayenneCayenne SCayenne GTSCayenne TurboCayenne Turbo SCayenne CoupeCayenne E-HybridMacanMacan SMacan GTSMacan TurboPanameraPanamera 4Panamera 4SPanamera GTSPanamera TurboPanamera Turbo SPanamera Sport TurismoPanamera E-HybridTaycanTaycan 4STaycan GTSTaycan TurboTaycan Turbo STaycan Cross TurismoTaycan Sport Turismo Vehicle 1 - Year 19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Vehicle 1 - KW To convert HP to KW divide HP value by 0.7457 Vehicle 1 - Colour Vehicle 1 - Tyre Type StandardSemi-SlickSlickOthers Vehicle 1 - Weight Vehicle 1 - Registration No. Vehicle 1 - Insurer Vehicle 1 - Has the vehicle been modified or is it standard? StandardModified Vehicle 1 - Modifications / Notes Vehicle 2 - Model 356911911 Carrera911 Carrera S911 Carrera 4911 Carrera 4S911 Targa911 Turbo911 Turbo S911 GT3911 GT3 RS911 GT2911 GT2 RS911 Speedster911 R911 Dakar911 Sport Classic912914918 Spyder959Boxster718 BoxsterBoxster SpyderCayman718 CaymanCayman GT4Cayman GT4 RSCarrera GT924928944968CayenneCayenne SCayenne GTSCayenne TurboCayenne Turbo SCayenne CoupeCayenne E-HybridMacanMacan SMacan GTSMacan TurboPanameraPanamera 4Panamera 4SPanamera GTSPanamera TurboPanamera Turbo SPanamera Sport TurismoPanamera E-HybridTaycanTaycan 4STaycan GTSTaycan TurboTaycan Turbo STaycan Cross TurismoTaycan Sport Turismo Vehicle 2 - Year 19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Vehicle 2 - KW To convert HP to KW divide HP value by 0.7457 Vehicle 2 - Colour Vehicle 2 - Tyre Type Vehicle 2 - Weight Vehicle 2 - Registration No. Vehicle 2 - Insurer Vehicle 2 - Has the vehicle been modified or is it standard? Vehicle 2 - Modifications / Notes Vehicle 3 - Model 356911911 Carrera911 Carrera S911 Carrera 4911 Carrera 4S911 Targa911 Turbo911 Turbo S911 GT3911 GT3 RS911 GT2911 GT2 RS911 Speedster911 R911 Dakar911 Sport Classic912914918 Spyder959Boxster718 BoxsterBoxster SpyderCayman718 CaymanCayman GT4Cayman GT4 RSCarrera GT924928944968CayenneCayenne SCayenne GTSCayenne TurboCayenne Turbo SCayenne CoupeCayenne E-HybridMacanMacan SMacan GTSMacan TurboPanameraPanamera 4Panamera 4SPanamera GTSPanamera TurboPanamera Turbo SPanamera Sport TurismoPanamera E-HybridTaycanTaycan 4STaycan GTSTaycan TurboTaycan Turbo STaycan Cross TurismoTaycan Sport Turismo Vehicle 3 - Year Vehicle 3 - KW To convert HP to KW divide HP value by 0.7457 Vehicle 3 - Colour Vehicle 3 - Tyre Type Vehicle 3 - Weight Vehicle 3 - Registration No. Vehicle 3 - Insurer Vehicle 3 - Has the vehicle been modified or is it standard? Vehicle 3 - Modifications / Notes Indemnity By updating My Profile I , the undersigned, hereby agree that membership of the Porsche Club of South Africa – Central Region (The Club) is granted on the specific condition that neither The Club nor any of its office bearers shall be liable for any injury, loss or damage of whatsoever nature and howsoever caused, whether due to the negligence of The Club or any of its members or not, whether such damage, injury or loss is sustained on premises used, leased or owned by The Club or not, or whether such damage, injury or loss is sustained during an event organized by The Club or under its auspices or not. I/We hereby accept membership of The Club under the rules as set out in its constitution and the indemnity contained above. 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