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Retreads Application
Membership Type
*
New Membership
Renewing Membership
Member Details
Surname
*
First name
*
Known as
Partners name (if joining)
Mailing address
*
Email address
*
Phone number
*
Bike model and year
I confirm that:
*
I am over 40
I have a full motorcycle licence
From time to time we publish a list (hard copy, not web site) which contains names, tel nos and email addresses of Retreads members. This makes it easier for members to contact each about rides and is circulated to ONLY Retreads members. However if you DO NOT want your details included whenever this list is published, we will respect your privacy.
Contact details
*
Yes, include my details
No, do not include my details
Please enclose membership fee (cheque payables to “Retreads NZ Motorcycle Club” posted to C/- 21 Geddis St, Rangiora) as follows:
Membership Subscription
*
Full Year Single: $10
Full Year Double: $15
Part Year Join Jul - Sep 50% Of Full Year Fee
Part Year Join Oct - Dec 25% Of Full Year Fee
Membership term is Jan - Dec. Membership fees for full year to be paid by 31 Mar please.
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