Livery, Trackit and Club Targa membership Livery, Trackit and Club Targa Name*Mobile number*Email address*Car Number (or 'TOUR') I need to renew my Club Targa membership I need to lease a Trackit unit I need to order a livery pack I need a livery packYour livery pack can be picked up from the Targa NZ office at 563 Great South Road, Papakura, or we can courier it out to you at a fee of $20.00. Courier*PickupCourierAddress to send livery to*Trackit lease unitAll Tour vehicles must be fitted with an operational Trackit GPS unit that is either hardwired or plugged into an accessory outlet, but does not include an iPhone application or other GPS units. This unit must be switched on from Safety authority through to the end of the event. Only Trackit GPS is allowed, no other GPS guidance or tracking system is allowed. Product Name Price: $ 115.00 Club Targa MembershipNew subscription or renewal?*New subscriptionRenewalSubscription Fees*Adult - $60.00Junior (up to and including 18 years of age) - $60.00Family (2 adults/3 children up to and including 18 years of age) - $90.00Address*Club Membership NumberFull name*Age group*Under 18 years old19-25 years old26-35 years old36 - 60 years old61+ years oldDate of birth*Adult 1*Age group*Under 18 years old19-25 years old26-35 years old36 - 60 years old61+ years oldAdult 2Age groupUnder 18 years old19-25 years old26-35 years old36 - 60 years old61+ years oldChild 1Date of BirthChild 2Date of BirthChild 3Date of BirthTotal PaymentTotal payment required for Livery, Trackit and Targa Club Membership $ 0.00 PRIVACY INFORMATION: This information is required by Club Targa Inc. in order to keep you informed of the Club’s activities and for the Club’s statistical purposes only. Your details will be stored as written on this form and on the Club’s computer. The information provided will only be available to the Secretary, President, Treasure and Committee Members. The information will not be disclosed to any other individual or organisation without your prior consent. Please ensure that you complete this form in it’s entirety as the accuracy of our Club records depends on you. I give consent to my name, address, telephone number and other information forming part of my membership details to be held by Club Targa Inc. and to be used for the Club’s objectives. I acknowledge my right to access and correction of this information. This consent is given in accordance with the Privacy Act 1993.