Member Application

/Member Application
Member Application 2017-06-15T04:51:42+00:00

pdfHave you ever heard of our club? Our primary aim is to promote the preservation, interest and use, of the Cortina in all its variants and forms.

We welcome every kind of Cortina into the club, whether they are Concourse winners, everyday workhorses, customised examples or even awaiting restoration.

Membership is open to anyone who has an interest in the Lotus, 1600E, GT, GTE in the MK1, MK2, MK3, MK4 and MK5 or other Classic Ford vehicles.

The aim of the club is to preserve and enhance the profile of the Cortina.

Member Application

Surname (required)

Christian Names (required)

Email (required)

Phone Number (required)

Address (required)

Vehicle Registration (required)

Vehicle Model (required)

General Comments on Car

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Our Agreement
Check the box below to show you understand and agree to all terms and conditions.

I agree to abide by the rules of the Classic Cortina lnc. (called o'The Club
I also agree that any rally or event organised by The Club in which I take part will be entirely at my own risk. I will not hold The Club responsible for any loss of article or property that I may incur.
I agree to post or transfer the annual fee of $40


To make payment please use one of the following payment option;

  • Cash/Cheque for $40, Crossed and Made Payable to “Classic Cortina Inc”.

  • Internet Banking to “The Club” account, Westpac 030830-0243941-00 (Use your name as the reference)