Join the Mercedes-Benz Car Club of WA

To join the Mercedes-Benz Car Club of WA, please 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.

    How did you hear about us?