To download a MS Word version of the form below,
click here.
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LEVIS MOTORCYCLE
CLUB inc
Affiliated with Motorcycling Australia (SA) - MSA
Patron: Phil
Franklin
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MEMBERSHIP FORM 2010
The Levis Motorcycle
Club was founded in 1922, making it the oldest affiliated motorcycle club
in S.A.
We promote all forms of motorcycling -
motocross, dirt track, road trials, trail rides, ride days,
scrambles, interclub events - both social and competitive. The
Club meets at 7.30pm on the second Tuesday of each month at the Elephant and Castle Hotel, West Tce in the City. |
COMMITTEE MEMBERS 2010
PATRON
|
Phil Franklin
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8388 6520 |
PRESIDENT
|
Brenton Matters
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0409 844800 |
VICE PRESIDENT
|
Gil Harris
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0417808725 |
CHAIRMAN
|
Muzz Tune |
0407 350290 |
SECRETARY
|
Linda Harris
|
8235
2709 / 0438 738574 |
TREASURER
|
Linda Harris
|
8235 2709 |
COMPETITION SECRETARY
|
Linda Harris
|
8235 2709 |
LEVIS
CLUB ACCREDITED MSA COACH
|
Gil Harris
|
0417 808725
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SOCIAL SECRETARY/PUBLICITY
OFFICER
|
Muzz Tune
|
0407 350290 |
NEWSLETTER EDITOR
|
Muzz
Tune
|
0407 350290 |
WEBMASTER
|
Carole Tune |
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MSA COUNCILLORS
|
Les Waye, Linda Harris
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0412 131079 |
MOTOCROSS CONSULTANT
|
Les Waye, Linda Harris
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0412 131079 |
RELIABILITY TRIAL CONSULTANT
|
Les Waye
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0412 131079 |
RELIABILITY TRIALS CO-ORDINATORS |
Len Burman, Rob Wilkinson, Steve Martin |
ROB 0417 821971
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CLUB CAPTAIN |
Steve Martin |
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VICE CLUB CAPTAIN |
Brenton Daniel |
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TRUSTEES
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Jay Lowen, Murray Williams, Don Murfitt |
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FLOOR MEMBERS
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Steve Murfitt, Geoff Baran, Warren Duthy, Les Waye
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PLEASE TEAR OFF AND RETURN TO LEVIS MCC, 8 CRAFTER STREET, GRANGE 5022
MEMBERSHIP APPLICATION 2010 NEW - RENEWAL / YEAR JOINED……………………………
EMAIL ADDRESS............................................................................................................…….....................……….
Name........................................................................................………..Date
of Birth......................……………….........
Spouse/Partner’s
Name...........................................................…………..No.
of children under 16 yrs..................……...
Names & ages of
children......................................................................................……….....Phone.............................
Address......................................................................................................……….…………........P/C........................
MEMBERSHIP
FEES FOR 2010: If fees are paid before May 1st a $10 discount applies
RENEWAL (single): $50.00 NEW & FAMILY: $55.00 (includes children up to 16yrs)
JUNIOR (17 yrs & over): NEW $40.00 JUNIOR (17 yrs & over) RENEWAL: $35.00
I hereby apply for Membership
of the Levis Motorcycle Club inc. I
undertake to recognise and submit to the rules and regulations as may from time
to time be in force for the government and working of the said Club.
APPLICANT’S
SIGNATURE:....................................................................................DATE..............................
PARENT/GUARDIAN’S SIGNATURE:
(if under18
year)................................................................................................DATE………………………….
*** PLEASE NOTE: CLUB INFORMATION & UPDATES ARE SENT OUT VIA EMAIL MORE REGULARLY THAN BY POST