To activate your CMT Motor Accident Support Service Membership please fill out & submit your details below.
Dealer:
Username and Password
Username (nickname or email address):
Password:
Confirm Password:
Vehicle Details
Vehicle Make:
Manufactured Year:
Vehicle Model:
Purchase Date:
Rego:
VIN:
Vehicle Category:


Notes:
Personal Details
Title:
First Name:
Last Name:
Email:
Phone:
Alternative Phone:
Address Line 1:
Address Line 2:
State:
Suburb:
MASS Membership

Start DateEnd DateDurationMembership FeeSubscription
18/01/201818/01/2019OneYear$0.00 Standard
I agree with terms and conditions: