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TRMCC Registration

Membership Application
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First Name
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Last Name
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Email Address
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Date of Birth
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You can use the calendar OR just type it in the format dd/mm/yyyy e.g.: 01/01/1901
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Street Address
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Suburb
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City/town
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Post Code
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Phone - mobile
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Please use format as follows, e.g.: 020 123 4567
Phone - home
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Phone - work
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Create Your Account
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Username
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Password
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Please enter at least 6 characters.
    Strength: Very Weak
    Important: Please make note of your username and password so that you can sign in to this website to view member's only content.
    Your Membership
    Member Number
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    Maximum 4 characters allowed.
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    New members - please leave this blank. Your number will be allocated when your application is accepted.
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    Chapter
    Select OptionNorthlandAucklandWaikatoBay Of PlentyGreat Lake TaupoTaranakiHawkes BayWanganuiManawatuWellingtonTasmanNelsonMarlboroughWest CoastCanterburyTimaruMember at Large
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    Select your local chapter
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    Office Held
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    Please supply details of office held, or NIL if not applicable
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    Membership Type
    Full MemberAssociate MemberFounding MemberLife MemberSponsorHonorary Associate
    Please select one option.
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    Please select Full Member (you own & ride a Triumph) or Associate (you own and ride a BEARS bike)
    *
    New application or renewal?
    New applicationRenewal
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    Nominated By
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    Your Bikes
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    Make & Model
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    Year
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    Registration
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    Other Bikes
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    Emergency Contact
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    Contact Person
    Please provide name of person to contact in case of emergency
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    *
    Emergency Phone
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    Please use format as follows, e.g.: 020 123 4567
    Agree & Submit your application
    Please note that your membership can't be validated until payment is made.
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    Constitution
    I have read a copy of the TRMCC Constitution and agree to abide by it
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    *
    Privacy
    I agree to the TRMCC Privacy Policy
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    * indicates required fields
    Select Your Payment Method
    Please make your payment to:

    Account Number: 02 0792 0069435 000
    Account Name: Triumph Riders MCC
    Card Holder Name
    Credit Card Number
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    Please enter at least 13 digits.
    Maximum 16 digits allowed.
    Please enter the correct card details.
    Expiration Month
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    Expiration Year
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    CVV Code
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    How you want to pay?
    Payment Summary

    Your currently selected plan : , Plan Amount :
    Final Payable Amount:
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