DRIVERS CLUBAPPLICATION What type of Drivers Club Membership are you applying for? * Individual Drivers Club Membership Corporate Drivers Club Membership Contact Information Name * First Name Last Name Email * Phone * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred Contact Method Email Phone Text Demographic Information Why are we asking for this information? Your answers help us determine what types of events and amenities our members and community might be interested based on shared demographic information like marital status, family size, and travel distance. Birth Date * MM DD YYYY Marital Status Single Married Divorced Widowed Separated Household Size Including yourself, spouse, and dependents 1 2 3 4 5 + Is Michigan the location of your primary residence? Yes No If no, please specify where your primary residence is. Professional Information Why are we asking for this information? Your professional information is used to help our team understand commonalities among our members and applicants for networking and marketing events. Current Occupation or Title * Company Name * Industry * Aerospace Agriculture & Natural Resources Architecture Arts, Entertainment & Recreation Automotive Banking & Financial Management Business Investing Computer & Information Systems Construction Health Care & Medical Services Marketing Real Estate Other Is this application for a Membership for this company? * Yes No Membership Information How did you hear about our Drivers Club? * Online Search News Article or Podcast Referral Social Media Other Are you a member of any other exclusive club or organization? * Yes No If yes, please specify. What vehicle(s) will you be tracking? * Will you utilize private aviation services for track arrival? * Common for members flying in from out of state. Yes No Motorsport Experience Describe your level of motorsports experience: * Novice Amateur Professional Have you participated in a motorsport events? * Yes No If yes, please describe. Have you participated in a driving instruction program? * Yes No Do you hold a competition drivers license? * Yes No Is there anything you'd like to share or inquire about regarding a Drivers Club Membership? By checking this box, you agree to receive information from Motorsports Gateway and be contacted by our team. You also certify that you have read and agree to with our Privacy Policy. * I Agree Thank you!
