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ADDRESS INFO
Membership Type *	Paid 1 year membership - USA address ($27.00) 1 Year membership in the Triumph Stag Club USA - USA Addresses Only. Includes a $2.00 transaction fee. Paid 1 year membership - Non-USA address ($32.00) 1 Year membership in the Triumph Stag Club USA - Addresses outside the USA. Includes a $2.00 transaction fee and a $5 postage premium to cover costs to mail your quarterly newsletter.
Payment System *	PayPal secure credit card payment Offline Payment Offline Payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
Street *
City *
State *
ZIP *
Country *
ADDITIONAL INFORMATION
Home Phone Number Your home phone number
Work Phone Your work phone number
Mobile Phone Your mobile or cellular phone number
Spouse or Significant Other
Member Directory May we publish your contact information in the club directory?	yes no
Field Assistance Are you willing to assist other Stag owners who may break down in your area>	Yes No
For Sale Tell us if your Stag is for sale (you can list it for free in the stag Classifieds)	Yes No
Stag Wanted Are you looking to purchase a Stag?	Yes No
Tell us about your Stag
Production Year
Commission Number	Please enter your Stag's Commission Number
Mileage
Exterior Color
Interior Color
Wheel Type	5 spoke, Wire, Rostyle, other custom
Engine Description
Engine Number	Number stamped on the Engine Block. This usually starts with LF or LE
Transmission Type	BW35, BW65, 4 spd, 4spd/OD, Other
Trans Number	Number Stamped on the Transmission
Hardtop	Does this car have a removable hardtop available
Air	Does this car have Air Conditioning
Vehicle Condition	What Condition is your Stag