MSR 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, 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: ………………………………………….....…………………..
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: Melbourne Sportsbike Riders.
and post to:
MSR
Or
Direct Deposit via the Internet into the
BSB: 803-143
Account Number: 14304721
Account Name:
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.
An electronic version of this form is available under the Members section at the club web site.