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Mazda MX-5 Club of Victoria Inc.
To pay your membership: • by cheque or money order please complete this form and return it with your payment to the address shown at the bottom of the page. • by Visa or MasterCard Mazda MX-5 Club please use the “Membership Portal” on our website, www.mx5vic.org.au and follow the steps. of Victoria Inc. Incorporated No. A0021659A For more information, please call the Club's Membership Officer, Bill Campbell, on (03) 5261 4816 (ah). MEMBERSHIP APPLICATION FORM Please note: The information provided on this form will be used solely for Club purposes. Membership Type: Name/s of Applicant/s: Full Family Country member Associate (no magazine) Junior (no magazine) Please tick appropriate membership category. See over for details of membership types and fees. Residential Address: P/code: Home Phone: ( ) Business Phone: ( ) Facsimile: ( ) Mobile: E-mail (essential if you choose the online Club magazine - see over): Occupation: (optional) MX-TRA: Please tick to indicate choice of (Club magazine) ❏ printed (mailed) or ❏ online version of magazine MX-5 Vehicle Details: Registration No. Colour: Year: Generation: ❏ NA 1600 ❏ NA 1800 ❏ NB ❏ NB sp ❏ NB se ❏ NC ❏ Limited Edition Remittance Details: (please tick as appropriate) Club use only: Cheque: no. Cash Money order Date received: Amount enclosed: $ Date: Amount paid: $ • Please make cheque/money order payable to “Mazda MX-5 Club of Victoria”. • Please do not send cash through the mail. Receipt number.: • Please note that we do not accept direct transfers to our bank account. • For credit cards (Visa/MasterCard only), please pay online via: www.mx5vic.org.au Member number: Member card sent: Motor Sport: I am interested in taking part in motor sport activities. Please contact me with more information about the Club’s Name badge sent: motor sport program, licences, vehicle requirements etc. Mazda MX-5 Club of ViCtoria inC Po boX 7438 bEauMariS ViC 3193 Membership types and fees applicable for new members Effective: 1 August 2008 Membership types: Conditions of membership: Adherence to Club rules • Full Available to any natural person of at least driver’s licence-holding age who is the membership: driver and/or co-driver of a Mazda MX-5. I agree to be bound by the Club's constitution (PDF • Associate Available to any natural person of at least driver’s licence holding age who either copy available from website, www.mx5vic.org.au). membership: accompanies or intends to accompany a Full Member to one or more Club functions On Club runs, you must adhere to all applicable road annually or who was a Full Member but no longer owns or drives a Mazda MX-5. An rules and abide by the Club's “Convoy Rules” (PDF, Associate Member may participate in events with the Club but, save at the discretion 425K), any run notes provided on the day and the run of the Committee, may not win trophies or prizes. leader's instructions. • Family Available to a family (defined as two adults, plus two children under 18 years of age) Cancellations and non-attendance at events membership: and providing the benefits of Full Membership to both adults and Associate Membership to both children. For events that require payment (for entry, meals etc), if you cancel less than one week before the event, or • Country Available to any natural person of at least driver’s licence holding age who would do not turn up at an event for which you have booked membership: otherwise be a Full or Associate Member save that the person resides, or has their a spot, you may be charged in full for that event. principal place of business situated, 100 kilometres or more from the Melbourne GPO. • Junior Available to any natural person who is under the age of 18 years. Junior Membership membership: is only available for such persons to enable them to participate in events of the Club under the supervision of at least one Full Member and in accordance with the directions of any officer of the Club from time to time. Membership fees† – new members: Joining Joining Joining Joining (includes one-off initial joining fee) 1 July-30 Sept 1 Oct-31 Dec 1 Jan-31 Mar 1 Apr-30 June • Full Membership – printed magazine (one/household) $ 97.00 $ 79.00 $ 61.00 $ 43.00 – on-line magazine° $ 73.00 $ 61.00 $ 49.00 $ 37.00 • Associate Membership $ 61.00 $ 52.00 $ 43.00 $ 34.00 Note: Associate members do not receive MX-TRA magazine • Family Membership – printed magazine (one/household) $ 133.00 $ 106.00 $ 79.00 $ 52.00 – on-line magazine° $ 109.00 $ 88.00 $ 67.00 $ 46.00 • Country Membership – printed magazine (one/household) $ 70.00 $ 59.00 $ 48.00 $ 36.00 – on-line magazine° $ 49.00 $ 43.00 $ 37.00 $ 31.00 • Junior Membership $ 20.00 $ 17.50 $ 15.00 $ 12.50 Note: Junior members do not receive MX-TRA magazine † Full annual membership is due on 1 July each year. All fees shown above include one-off joining fee for new members. ° MX-TRA magazine: If you opt to receive the Club’s monthly magazine, “MX-TRA” on-line, you will be notified via e-mail when each month’s PDF is ready to be downloaded from a specific page on our website. You will need Adobe Acrobat to view the PDF. NB: It is your responsibility to advise the Club of any change to your e-mail address. Renewing members (annual fee† only) Printed magazine Online magazine° (one/household) Full Member $ 72.00 $ 48.00 Associate Member $ 36.00 Note: Associate members do not receive MX-TRA magazine Family Member $ 108.00 $ 84.00 Country Member $ 45.00 $ 24.00 Junior Member $ 10.00 Note: Junior members do not receive MX-TRA magazine
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