BMW Owners Register Inc. of NZ

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This application is for

If you have previously been a member, no joining fee is required. Please give details here:

Note: Both members and partners names may be entered if both actively participate in Register activities. Participating spouse / partner is to pay 10% of the annual subscription and half of the joining fee. Both names will be on the Register membership records but only one newsletter will be mailed.

Member Details		Spouse Details
First Name:	*	First Name:

Surname:	*	Surname:

Name usually known by:	*	Name usually known by:
(For Register Name Badge. Supplied free to new members but not to those rejoining)		(For Register Name Badge. Supplied free to new members but not to those rejoining)

Address:

Street & No./PO Box:	*	Suburb:	*

City/Town:	*	Post Code:

Phone: Res:	*	Bus:
	Include Country & Area codes		Include Country & Area codes

Email:	*

Particulars of BMW motorcycles owned: If you don't own a BMW, Associate membership only is allowed. N.B. If you do own a BMW but do not give details here, your application will be treated as an Associate membership.

BMW Motorcycle 1	BMW Motorcycle 2	BMW Motorcycle 3

Model:	Model:	Model:

Year:	Year:	Year:

Reg. No:	Reg. No:	Reg. No:

Engine No:	Engine No:	Engine No:

Tour Guide: An annual Tour Guide, available only to financial members, listing services members can provide, is issued to Registered members. If you are able to offer any services - please indicate below by ticking the appropriate square. This guide also lists member's name, area and contact telephone number. Please indicate below if you do not wish your contact details published.

I/We have a trailer & can collect a broken down member from (enter distance)				km

I/We have a workshop / tools for emergency repairs

Any club member is welcome to drop in for a coffee & chat (phone first)

I/We have camping space

I/We have sheltered bed roll space

I/We have a spare room

I/We are unable to offer any of the above

I do not wish my contact details listed in the Tour Guide

Have you applied for insurance under the Register motorcycle insurance scheme with John Baker?

By clicking on the checkbox below, I hereby acknowledge that I have signed this application and all the information provided above is correct and accurate.

I agree to the above agreement. (required)

For Associate Applications ONLY:

Nominated by:				I confirm this person has nominated me:

Seconded by:				I confirm this person has nominated me:

Subscription:
$50 per annum + $5.00 for partner, plus a once only joining fee of $10 ($15 for couple).
Overseas subscriptions: NZ $60 airmail + $6 partner, plus a joining fee of $10 ($15 for couple).

Note: Applicants joining after 1 January pay 50% of the subscription for the remainder of the financial year (to 30 June) plus the joining fee of $10 ($15 for couple). Partners pay the subscription of $5.00 or $6.00 (overseas).

Security Code:

Copy above in box below before clicking 'Send Feedback'.

Please allow a reasonable time for a reply. All Executives are unpaid volunteers and also have other commitments. The Post Box is usually cleared at least weekly. However the Executive may be out of town, particularly during holiday periods, so replies may take two weeks.

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