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 WAACTNSWNTQLDSATASVIC Your Occupation Vehicle Model Vehicle Year Vehicle Body Style SedanCoupeEstateConvertibleRoadsterHatchback4WD/SUVTruckMotorcycleVan Vehicle Colour Vehicle Registration State of Registration WAACTNSWNTQLDSATASVICUnlicensed 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): New or former/returning member, full year fee between 1st July and 31st December: $105New or former/returning member, half year fee between 1st January and 30th June: $62.50 Payment Method ChequeMoney OrderCredit Card Cheques and money orders can be posted to:PO Box 965West PerthWA 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?