other name
you are known by ( nickname) :

How paid : Money order.
Cheque. Cash.
Total $
Please Note:
All motorcycles must be registered, insured and roadworthy
All members are encouraged to ride in a safe manner.
The Club needs to be recognised and we ask for your assistance in not wearing
another clubs back patch while on a Cruiser Club Run. This does not include pocket badges.
DISCLAIMER:
a) To the extent permitted by law, no member, partner, friend
or visitor shall hold the club responsible or liable for any loss, damage or injury
sustained in attending a club RUN or FUNCTION, or while travelling to or from a club
RUN or FUNCTION.
(b) The club shall not be held responsible or liable for the
acts of any individual member or person at any time. Nor will views expressed by a
single member in any way reflect the views of the Cruiser Club.
I have read a copy of the Cruiser Club CONSTITUTION and agree to abide by its rules
and regulations and all that is within.
SIGNATURE................................................
DATE: / / 2012
Membership payments addressed to The Treasurer:
PO Box 368 Hindmarsh. 5007
Cheques and money orders made out to the CRUISER CLUB