Join the Mercedes-Benz Car Club of WA

There are several ways you can join the club.

1. Fill out an Application Form. Send via email to the Membership Secretary (membership@mbccwa.org.au).

2. Fill out an Application Form. Print and send an application by post to PO Box 965, West Perth, WA 6872.

3. Call any of the Committee members and request an application form be posted to you.

4. Fill out the online application below:

 

Online Membership Application Form

Member Type
New MemberFormer/Returning Member

Name (required)

Partner's Name (optional)

Email (required)

Telephone (required)

Address Line 1 (required)

Address Line 2

Suburb (required)

Postcode (required)

State

Your Occupation

Vehicle Model

Vehicle Year

Vehicle Body Style

Vehicle Colour

Vehicle Registration

State of Registration

Vehicle VIN/Chassis number

Do you have more than one Mercedes-Benz?
YesNo

Select applicable fee (Please note, a $20 joining fee is applicable for new members):

Payment Method

Cheques and money orders can be posted to:
PO Box 965
West Perth
WA 6872

Applications will not processed until Cheque or Money Order has been received by the MBCCWA.

If you wish to pay by credit card, you will be contacted for your Card details upon receipt of this Application.

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