Jampot Menu

MEMBERSHIP APPLICATION FORM

Are you interested in joining the New Zealand AJS & Matchless Owners Register which is dedicated to owning, restoring, and riding of AJS and Matchless motorcycles of all years and models?

	Membership is currently $25.00 per year due 31 March ($25 for families, $40 for trade members).
	A newsletter printed every two months, February, April, June, August, October, and December which contains Register news, members adverts, restoration hints, rally news and other items of interest.
	A National Rally called the "KIWI JAMPOT" is held each year, usually the first weekend in March (This summer it's on the 5 - 7 of March 2010).

Name:

Signature:

Address:

Post code:

Phone:

E-mail Address:

Membership Type (Please tick)

Single

Family

Commercial

MOTORCYCLE DETAILS

Year

Make

Model

Frame Number

Engine Number

Please fill out the motorcycle details even if you have provided the information before. This is to update our register of club eligible machines (NZ members only please)

Do you allow your details to be published in a membership list distributed to the committee and your area rep?

Yes / No

Please make cheques payable to:

NZ AJS & MATCHLESS OWNERS REGISTER INC.

Post to:

Peter Simpson
290 Normandale Road, Lower Hutt, 5010