912 Registry - Member Update Form

912 Registry Member Update Form

Members, update your information using the electronic form below.

After submitting your updated information, you will be returned to the renewal payment page, where you can also extend your Membership. NOTE: If you do not currently own a 912, you are still welcome to renew, type "Associate" in the VIN data box.

1) Information about your 912:
* Required Field

912 Model Year*

Body Style*

Chassis Serial Number (VIN)*

Original Exterior Paint Code #

Odometer reading
(xxx,xxx)

Current Color

Used for

Additional Comments (How you found your 912, how long owned, what improvements made, etc.)

2) Your contact information:

First Name*

Last Name*

Membership No.* (i.e. 912Rxxxx-x)

Street Address*

Address (cont.)

City*

State/Province*

Zip/Postal Code*

Select Country*

Other Country

Work Phone

Home Phone*

Cell Phone

E-mail*

Confirm E-mail*

912 Interests
(Select all that apply) Events/Touring

Technical/Restoration/Show

Rallies/Autocross/Racing

Committee Interests

May we share your email and mailing info with our
912 Registry advertisers? *

Yes No

Select PCA Region or
"Not PCA Member"

* Required Field

3) Choose one of the following options:

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