Reactivate My Membership

This form works best on the Firefox browser. Make sure that the Total $ field is valid (not zero) before sumbitting. Internet Explorer version 9 does not work at this time.

Today's Date:	Invalid Input
*First Name:()**	Invalid Input - Please enter your First Name
*Last Name:()**	Invalid Input - Please enter your Last Name
*Address:()**	Invalid Input - Please enter your mailing address
*City:()**	Invalid Input - Please enter the city that corresponds to your mailing address
*State/Prov./Cntry:()**	Invalid Input - Please enter the State, Province name or Country that you reside in
*Zip/Postal Code:()**	Invalid Input - Please enter the correct Zip or Postal Code for your address
*Phone:()**	Invalid Input - Please enter your phone number including country code if not in the US
*Email:()**	Invalid Input - Please enter a valid email address where you wish to receive emails
Are you reactivating a Membership that was interrupted?	Yes Invalid Input
What was your Membership Number?	Invalid Input - Please enter your previous membership number. Include VM if number was for a Vintage car
I am reactivating with the same car:	Yes No Invalid Input
	If No, please enter the new car data requested below:
Car #1 Series Type	TA TB TC TD TF Other (enter type in space below) Invalid Input
Car #1 Type	Invalid Input - Please enter the car type that you own if not listed above.
Year	Invalid Input
Color	Invalid Input
Chassis Number	Invalid Input - The car and engine number must be completed with letters as well as numbers. These can be found on the 3" x 4" Maker's Plate fixed to the battery box, tool box, firewall. TD owners are cautioned to include the letters in the lower half of the Car No. rectangle: i.e. EXL, EXLU, EXL/NA, etc.
Engine Number	Invalid Input - Please include all letters and digits in the Engine Number. If the plate(s) is missing, the car (chassis) number is stamped on the left front chassis rail on all T-Types. The engine number is on a brass plate on the block. If you have a replacement engine fitted, please give the original number and the replacement.
Please enter the car data for any additional cars you own: (car type, year, color, chassis number and engine number)	Invalid Input
	Fees & Additional Items Available for Purchase
Please select one from the following:*()**	1 Year - 40.00 USD2 Years - 76.00 USD3 Years - 110.00 USD Invalid Input
The 'T' Series M.G. Handbook	Dom. shipping - 53.00 USDInt. shipping - 78.00 USD Invalid Input
The Cecil Kimber Centenary Book	Dom. shipping - 28.00 USDInt. shipping - 53.00 USD Invalid Input
The Complete M.G. TD Restoration Manual	Dom. shipping - 48.00 USDInt. shipping - 73.00 USD Invalid Input
Regalia Package (car badge, mylar sticker & cloth patch)	Dom. shipping - 45.00 USDInt. shipping - 60.00 USD Invalid Input
40 Years of The Sacred Octagon 1964-2004 CD-ROM	Dom. shipping - 99.00 USDInt.shipping - 117.00 USD Invalid Input

50 at 50 Book, Numbered Deluxe-Bound Due to Dick's passing we can no longer offer signed books. They will be numbered before shipment.	Invalid Input
If you wish a specific number (26 -100) please enter it here. There is NO GUARANTEE you will receive this number. You can see the numbers available on the website.	Invalid Input
50 at 50 Book, Gloss Cover Version	Invalid Input
	Knudson Churchill Scholarship Trust Donation. The Knudson Churchill Scholarship Trust is a 501(c)(3) Tax Exempt Foundation
Select Donation Amount	Invalid Input
Total of Items Purchased	0.00 USD

	Please verify that there is a dollar amount in the Total section prior to pressing the Submit button