MTCV Membership Renewal Form 2000

Please complete the tear-off below and return it with your member ship fee. Full membership fee is $30 and associate membership fee is $15 and is due before July 1st. The money is used to help run the Club and pays for the printing of the magazine, itineraries, stationery, postage, supper, etc. The Club is a non-profit organisation and relies on your support for its continued existence.

Name: …………………………………………………………………………

Address: ……………………………………………………………………….

………………………………………………………………………………….

Telephone: Home: …………………………………………………………..

Work: ………………………………………….....……………

Mobile: ………………………………………………………….

Email:…………………………………………………………………………..

Motorcycle make and model :……………………………………………………

Do you have a medical condition that the Club should be aware of in the event of an accident?

If there is information you wish to remain confidential, please indicate.

 

Members, please fill out and return to:

MTCV, PO Box 453, Richmond 3121

with your annual subscription fee of $30 if you have not already done so. Make cheques payable to:

Motorcycle Touring Club of Victoria.

 

Ben Warden, Secretary