Member Name











    Membership Status







      Club Status













        Invoice & Payment History

        Membership Application Fee
        Invoice Date Cost Date of Payment
        -- -- --
        Tesla Vehicle Purchase Share
        Invoice Date Cost Date of Payment
        -- -- --
        Charging Station Wall Connector
        Invoice Date Cost Date of Payment
        -- -- --
        Charging Station Installation
        Invoice Date Cost Date of Payment
        -- -- --
        Driverless Software Share
        Invoice Date Cost Date of Payment
        -- -- --
        Monthly Club Membership
        Invoice Date Cost Date of Payment
        -- -- --
        Repair / Service Required
        Invoice Date Cost Date of Payment
        -- -- --
        Cleaning / Service Required
        Invoice Date Cost Date of Payment
        -- -- --
        Damage Assessment Required
        Invoice Date Cost Date of Payment
        -- -- --
        Late Fee / Charging Station
        Invoice Date Cost Date of Payment
        -- -- --
        Club Membership Renewal
        Invoice Date Cost Date of Payment
        -- -- --
        Tesla Vehicle Purchase Share
        Invoice Date Cost Date of Payment
        -- -- --
        Driverless Subscription Renewal
        Invoice Date Cost Date of Payment
        -- -- --
        Monthly Club Membership
        Invoice Date Cost Date of Payment
        -- -- --

        Member Usage History

        Date Beginning Mileage Ending Mileage Total Miles

        Member Comments and Complaints

        Date Comment Complaint

        Member Calls for Assistance (Please Describe Specific Reason)

        Date Specific Request Response

        Member Special Assessments (Please Describe Specific Reason)

        Date Cleaning Required Damage Observed $ Amount

        Note: If you were the last member who used vehicle you will be assessed the actual cost of the cleaning or damage repair.

        Member Late Fee Assessments

        Date Expected Arrival Time Actual Arrival Time Late Fee

        Note: The Club Vehicle should arrive at the next member’s address no more than 30 minutes after your reservation end time. You will be assessed a Late Fee of $5 for every 5 minutes late the vehicle is. The next member recharges the vehicle prior to their reservation use.