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Home
> Membership >
App |
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| BSA
MOTORCYCLE |
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|
OWNERS |
| ASSOCIATION |
|
| Application
For Membership |
| of
the BSA Motorcycle Owners Association Inc. |
| |
| Name
& Address: ............................................................................. |
|
................................................................................................ |
|
................................................................................................ |
| Telephone: ............................................... |
Email:
.................................................... |
| Occupation: ...................................................................................... |
| BSA
Motorcycles Owned: .......................................................................................................... |
| Other
Motorcycles Owned: ........................................................................................................ |
| Motorcycle
Interests: (Circle Appropriate) |
|
Touring |
Restoration |
Social |
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| |
Competition |
Off
Road |
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Other |
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........................... |
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| Membership
Fees |
| |
| Membership |
Victoria |
Other
States |
International |
|
| Single |
$40.00 |
$30.00 |
$AUD40.00 |
|
| Family |
$50.00 |
$35.00 |
$AUD50.00 |
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| Payment
enclosed:
$....................... |
| Card
No: |
 |
| Date:
....................... |
Expiry
Date:
............................. |
Type:
Visa Master
Bankcard |
|
| |
| Signature:
............................................
Date: .................................. |
| Postal
Address: |
BSA
Motorcycle Owners Assoc. Inc. |
|
PO
Box 2400 |
|
OAKLEIGH
VIC 3166 |