MSTCV Membership Renewal Form

 Please complete the tear-off below and return it with your member ship fee. Full membership fee is $40 and associate membership fee is $20 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, hall hire, etc. The Club is a non-profit organisation and relies on your continued support for its 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.

 Make cheques payable to:

                                    Motorcycle Sports Touring Club of Victoria.

 and post to:                 MSTCV, PO Box 4132, Melbourne University, Parkville VIC 3052

 

Or Direct Deposit via the Internet into the Commonwealth Bank :-

                        BSB:                            063-020

                        Account Number:         10046225

                        Account Name:            Motorcycle Sports Touring Club of Victoria

and forward this form to the above address or email [email protected]. Please put YOUR name in the appropriate field so that the Club can identify who paid.

If you are direct depositing over the counter at a bank, ask the teller to put YOUR name in the appropriate field when entering the details as normally no such field exists on the deposit slip.

 

 Ben Warden, Secretary