MiddleEast Auto Service

MID membership registration form

Vehicle owner:

Authorized driver:

Vehicle Type:

Manufactured Year:

Plate No.:

Chassis No.:

City:

Mobile:

Tel phone:

Postal Code:

P. O. Box:

E-Mail:

New Member

Renewal Membership

Renewal Membership No.:

Please shoose membership type :

BASIC ( 287.5 SR )

PLUS ( 402.5 SR )

MAX ( 575 SR )

Choose the method of Paying membership fees :

Visa

Master Card

Mada

Membership Notes

Tax Number: 300108639400003

membership will be valid after 48 hours from paying the fees for one year.

One year Georgian membership effective after 48 Hours from payment& fee will be deducted by middle East Vehicle services.
MID has aright to accept or reject membership, in case MID reject membership, fee will be refund.

I have read and understood free services, exclusions and conditions on form and I agree to be member of MID .

Subscription Form

MID membership registration form