{"id":628,"date":"2011-10-20T19:44:46","date_gmt":"2011-10-20T08:44:46","guid":{"rendered":"http:\/\/www.cimaa.asn.au\/?p=884"},"modified":"2025-02-08T06:27:54","modified_gmt":"2025-02-08T06:27:54","slug":"nsw-application-form-2","status":"publish","type":"page","link":"https:\/\/cimaa.asn.au\/index.php\/nsw-application-form-2\/","title":{"rendered":"NSW Application Form"},"content":{"rendered":"

Before you start<\/strong> – if you don’t have an email address you’ll have have to contact the Membership Secretary using the Print and Post<\/em> form below:<\/p>\n

\"\"<\/a>The annual membership fee is $40<\/span> and <\/strong>the period is from 1st July to 30th June – not from the date you join!<\/em><\/strong><\/p>\n

Please use your postal address to allow delivery of your membership card and the Moto d’Epoca newsletter. If you use a Post Office Box number enter it in the “Street” field.<\/em><\/p>\n\n

\n

<\/p>

    <\/ul><\/div>\n
    \n
    \n\n\n\n\n\n\n<\/div>\n

    First Name:
    \n<\/span>
    \nLast Name:
    \n<\/span>\n<\/p>\n

    House # and street:
    \n<\/span>\n<\/p>\n

    City:
    \n<\/span>\n<\/p>\n

    State: <\/span>\n<\/p>\n

    Home Phone:
    \n<\/span>\n<\/p>\n

    Work Phone:
    \n<\/span>\n<\/p>\n

    Mobile:
    \n<\/span>\n<\/p>\n

    Email Address:
    \n<\/span>\n<\/p>\n

    Eligible Motorcycles Currently Owned:
    \n