MEMBERSHIP APPLICATION
Your Photo here:
New Member Mr.  Mrs.  . Dr. 
Last Name: …………………………………
First Name
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Date of Birth:
Nationality:
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Full address: ................................……………………………………………………………………………………………..
Phone: ……………………………………............ Fax: ………………………………………………………………….…
Mobile: ……………………………………............
Email: …………………………………..…...………...………………
Occupation: ……………………………………… Company: …………………………………………………………….
Position: ………………………………………………………………………………………………………………………..
Spouse/Partner: Last Name: ……………….......………. .... First Name: ……………………………………..................
Your reasons for wanting to join SMAC ...............................................................................................................................
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Do you know any SMAC Member(s)?.............................................................................................. ...................................
Membership
2015
Yearly Membership 
(non-transferable)
CHF 900.00/yr
Corporate Membership 
(transferable)
CHF 5'000.00/yr
Life-Membership 
(hereditary)
CHF 25'000.00/life
Junior Members 
(-30 yrs)
CHF 500.00/yr
Passive Members 
(without vote)
CHF 700.00/yr
Overseas Membership 
(limited participation)
CHF 500.00/yr
No entry-fee required. Membership valid for Member and partner. Fees incl. handmade chrome-enamel car
badge, pins, stickers, SMAC-Magazine, inclusion in all regular email infos, invitations to events and monthly
apéros, events and invitations from sponsors etc.
St. Moritz Automobileclub SMAC - Kulm Hotel - Via Veglia 18 - CH-7500 St. Moritz
T +41-81-833 45 45 - F +41-81-833 46 46 - www.stmoritz-automobileclub.com
Cars
Marque/Model: ………………………………………………...............................................
Year: ….……...
Marque/Model: …………………………………..............................................…..…………
Year: ………….
Marque/Model: ……………………………………..…..............................................………
Year: ………….
Marque/Model: ……………………………………..…..............................................………
Year: ………….
My favourite activities with cars: Social Events  Rallies  Racing  Concours  Restoration 
Other favourites: Skiing/Tobogganing  Golf  Yachting  Classical Music  Jazz & Pop  Art 
I am a Member of the following Clubs (cars, golf & country, private, yacht, etc.):
Club: ……………………………………………………….
Location: ……………………………………………………..
Club: ……………………………………………………….
Location: ……………………………………………………..
Club: ……………………………………………………….
Location: ……………………………………………………..
Place and date: ……………………………………………
Signature: ………………………………………….............
To be completed by Supporting Members
1. Last Name: …………………………………
First Name
…….……………………………………..…….......
Recommendation for new member: ………………………….……………………………………………………………..
…………………………………………………………………….……………………………………………………………..
…………………………………………………………………….……………………………………………………………..
2. Last Name: …………………………………
First Name
…….……………………………………..…….......
Recommendation for new member: ………………………….……………………………………………………………..
…………………………………………………………………….……………………………………………………………..
…………………………………………………………………….……………………………………………………………..
St. Moritz Automobileclub SMAC - Kulm Hotel - Via Veglia 18 - CH-7500 St. Moritz
T +41-81-833 45 45 - F +41-81-833 46 46 - www.stmoritz-automobileclub.com