To download a MS Word version of the form below, click here.
www.levismcc.asn.au
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LEVIS MOTORCYCLE CLUB inc Affiliated with Motorcycling Australia (SA) - MSA Patron: Phil Franklin
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MEMBERSHIP FORM 2007The Levis Motorcycle Club was founded in 1922, making it the oldest affiliated motorcycle club in S.A. We promote all forms of motorcycling - scrambles, motocross, road trials, dirt track, trail rides, ride days, interclub events - both social and competitive. Classic and road bikes are preferred by many of the members, both young and old. This year the Club will meet the second Tuesday evening of each month at the Joiners Arms Hotel, Manton Street, Hindmarsh at 8pm. |
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PATRON
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Phil Franklin
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PRESIDENT
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Brenton Matters
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0409844800 |
VICE PRESIDENT
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Jay Lowen
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CHAIRMAN
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0407350920 |
SECRETARY
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Linda Harris
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8235 2709 / 0438738574 |
TREASURER
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Linda Harris
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COMPETITION SECRETARY
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Linda Harris
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SOCIAL SECRETARY/PUBLICITY
OFFICER
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Murray Tune
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NEWSLETTER EDITORS
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MSA COUNCILLORS
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Les Waye, Linda Harris
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MOTOCROSS CONSULTANT
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Les Waye
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0412131079 |
ROAD TRIAL CONSULTANT
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Les Waye
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DIRT TRACK CONSULTANT
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Richard Sampson
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ENDURO CONSULTANT
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Steve Murfitt
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CLUB CAPTAIN
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Rob Wilkinson
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0417821971 |
VICE CLUB CAPTAIN
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Spanner Spencer
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TRUSTEES
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Murray Williams, Richard Sampson, Gil Harris
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FLOOR MEMBERS
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Spanner Spencer, Geoff
Baran, Keith Simpson
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Brenton Matters,
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Gil Harris
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0417808725
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TRUSTEE OF THE TRAILER
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Phil Franklin
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MEMBERSHIP APPLICATION 2007 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 2007:
RENEWAL: $35.00 NEW & FAMILY: $40.00 (includes children up to 16yrs)
JUNIOR: NEW $25.00 RENEWAL: $20.00
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………………………….