Online Membership Form

    Annual Subscription
    New and Current Members
    $40 for 2019/2020

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    Member Details

    Car Details

    Indemnity
    ​In consideration of the acceptance of my membership and of my being permitted to take part in club events, I agree to save harmless and keep indemnified the Southern Lotus Register Inc, (SLR), all the owners and tenants of private property traversed by a Club  event, the committee members, Club members, fellow entrants, drivers and passengers, servants, representatives, agents and all persons having any connection with SLR from and against all losses, actions, claims, expenses and demands in respect of death, injury, loss or damage to persons or property of myself, my drivers, passengers or any other persons whatsoever howsoever caused arising out of or in connection with any club event, notwithstanding that such death, injury, loss or damage may have been contributed to or caused by the negligence of the SLR or any of the committee, Club members, representatives, agents or by any other person.

    Acceptance / Payment Method
    Direct payment to ANZ Bank Acc No: 11-7901-0193358-11

    Cheque payable to: Southern Lotus Register Inc.
    Post to:
    The Treasurer,
    Southern Lotus Register Inc.
    4 Amoka Crescent,
    Parklands,
    Christchurch 8083
    027 432 8018