OBMCC Club Membership Form
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I hereby apply for membership to Oyster Bay Motorcycle Club Inc and if accepted
I agree to abide by the following rules as set down by the Club and to uphold the
Constitution of the Club.
The following information submitted below is true and correct to the best of my knowledge
at the time of sending this application.
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Member Name *
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Class *
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Rider No. (1st Choice) *
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Please refer to http://www.obmcc.com/Rider_Numbers.htm for your number
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Rider No. (2nd Choice) *
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Rider No. (3rd Choice) *
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Date of Birth *
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DD
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MM
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YYYY
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Address *
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Email *
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Mobile
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Home Telephone Number
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Motorcycle Make
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Membership Renewal? (Select One) *
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Yes
No
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Membership Type (Select One) *
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Senior - $40
Junior - $20
Social - $20
Life - $0
Apply
Family member Discount
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After the first Senior member, family members at the same address are 1/2 price ( use separate forms ).
Note that your MNSW license is void if club membership lapses.
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Send your Deposit Slip
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Bank Details:
Commonwealth Bank, BSB: 062-164, Account : OBMCC, Acc Nr: 10084270
or send your cheques to,
OBMCC, PO Box 681, Cherrybrookl, NSW 2126 Cheque Payments to: OBMCC
Please note Memberships will not be processed without proof of payment ie your bank deposit slip or cheque.
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Remarks\Comments
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DISCLAIMER *
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Yes, I
agree.
The applicant acknowledges and understands that the Club and/or it’s members are not liable in respect of any injury or damage that may be caused to the
applicant or his/her possessions and belongings in respect of:
(a) the negligence of the Club or it’s members and/or any other person authorised or not whilst the said applicant is engaged in club activities;
(b) any default or breach arising out of or occurring in any manner or way through the fault of the Club or it’s members or any other persons authorised or not whilst the said applicant is
engaged in club activities.
The applicant acknowledges and understands that he/she enters all club activities entirely at his/her own risk.
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PARENT / GUARDIAN
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Yes, I
agree.
( If the applicant is a minor then the following certificate must be agreed by a parent or Guardian )
I hereby consent to my son / daughter / ward becoming a member of the abovementioned Club.
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Parent Name
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Image Verification
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