RMCC Membership Form

Membership Application

To apply for membership please complete all questions & submit.
Rider *

First Surname
Birthdate*
Extra Riders (at the same address)
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Membership Type

Individual $40Family (at same address) $60Other
Please pay memebership into account #

02-0412-0039198-00

Rotorua Mcc

Name & bike number as ref
You must become a club-member of RMCC to be eligible for points
Our Club Membership season runs annually from 1 April - 31 March www.rmcc.org.nz

https://m.facebook.com/rotoruamcc/
PRIVACY ACT CONSENT/HEALTH & DISABILITY DECLARATION
I/We hereby apply to become a member of the Rotorua Motorcycle Club Inc. and agree to abide by the Constitution and rules of the the club. I/We are aware that this membership runs for a 12 month period from 1 April 2022 to 31 March 2023, whereby it is then renewable for the next full membership year. The Rotorua Motorcycle Club Inc. is required to indicate reasons for acquiring this information under the Privacy Act 1993. It is a requirement in our Constitution that the Secretary holds a complete record of all club members under the Incorporated Societies Act, under which the Rotorua Motorcycle Club is registered. This information remains confidential to the Membership Officer & Secretary of the RMCC. I acknowledge my rights to access and correction of this information. This consent is given in accordance with the Privacy Act 1993.
"When participating in an RMCC event. I do so knowing that I am responsible for making sure I have no existing medical conditions that prohibit me from participating & that my bike is presented in a mechanically sound state"
Checking if you are human. Enter the message as it's shown*
Signature Parent/Guardian must sign when rider is under 16 yrs)*

Clear
Should be Empty:

Membership Application