CRUISER CLUB REGISTRATION
FORM

Est.March 2001
www.cruiserclub.com.au
President...Danny Ross      8323 7463
Secretary...Lyn Ross       
8323 7463
Treasurer...Nicole McEwan   0418843853
 

ALL MEMBERSHIPS VALID JULY TO JUNE - A PRO RATA AMOUNT MAY APPLY
Our membership is valid yearly from July to June - if you join in the first half of a year (from July to December), the full rate applies. If you join in the second half of a year (from January to June), then a pro-rata amount applies. There is also an option to pay for an extra 2 or 3 years

Effective 1st July 2009

Join for 1 year
(July to June)
Join 2nd half of the year
(January to June)
Join for 2 full years
Join for 3 full years
Full Member- $30.00
Full Member- $15
Full Member - $50.00
Full Member -$75.00

Associate - $20.00

Associate - $10

Associate - $30.00

Associate - $45.00

Social Member - $10.00
 
 
 
Please contact the treasurer for any assistance
                                                                                    PLEASE PRINT CLEARLY

Type of bike:

Name:                                                                                                           Partner:
 
Address:                                                                                                                                   Post Code:
 
Telephone No:                                                                                             Mobile:
 
E-mail Address:                                                 @

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