Membership Form Membership runs to the financial year, 1st July to 30 June. Membership Form - v3 New Member * Yes (joining fee of $10) No Date Membership types * Racing membership ($60) Redplate membership ($60) Social membership ($20) Family membership ($75) Racing / Red plate membership Single membership with all voting rights. You will need this membership to be able to apply for a MA licence and compete at events. This membership is also for those who want to register their bike for club permit registration scheme. Please read the details for this scheme at the Vic roads website. https://www.vicroads.vic.gov.au/registration/limited-use-permits/club-permit-scheme You will also need to print out the red plate registration form from the club website. http://www.hmrav.org/files/pdf/Forms/RED_PLATE.pdf Non Racing Membership This membership is good if you would like to participate in the running of the club. Single membership with all voting rights. NOTE You cannot apply for an MV licence or red plate permit with this membership. Family Membership Family membership entitles the Spouse/Defacto of the primary member and dependent children 21 years and under to have the privileges of a full member including voting rights. All persons listed in the family membership must be living at the same address. Those eligible can apply for a MA licence with this membership Name * First Name Name * Last Name Date of Birth * Email Address Phone Number * Current Ambulance Membership * YesNo Postal Address * Suburb * Postcode * State * ACTNSWNTQLDSATASVICWA MA Licence Number ( Red plate member- insert 00) * MA Licence Expiry Date ( Red plate member- Insert todays date) * Next of Kin * Next of Kin Contact Number * Family Member Name * First Name Name * Last Name Relationship with Primary Member * PartnerDaughterSon Family Member Name First Name Name Last Name Relationship with Primary Member PartnerDaughterSon Family Member Name First Name Name Last Name Relationship with Primary Member PartnerDaughterSon Membership Fee Total ($AUD) Securely PAY by Credit Card *