MRASA The Motorcycle Riders Association of South Australia
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Type of Membership New Membership
Renew Existing Membership
Title
Name
Address Street:

Suburb:

State:

Postcode:
Contact Details Phone: 
Mobile: 
Email Address
Date Of Birth Year 
Occupation
Blood Donor? I'd rather not say
Yes, I am a blood donor
No, I am not interested
No, I am unable to
No, but please send me more information
Membership Number
(Renewals Only)
Membership
Individual Family
1 Year Standard $25 $35
2 Years Standard $48 $67
3 Years Standard $72 $99
Individual Family
1 Year Concession $21 $29
2 Years Concession $40 $55
3 Years Concession $60 $83
Family Members If you selected FAMILY membership above, You may have two cards. Please specify the names or your family members you would like listed...
On your FIRST Membership Card:

On your SECOND Membership Card:

Join our E-Mail Lists? SAMRATS Upcoming Rides
SCOOTER Upcoming Rides
None (you can subscribe later if you want to)
Note: The MRASA has a strict Anti-Spam policy and we will not give your Email address to any Third Party
What do you ride? Motorcycle
Scooter
Sidecar
Trike
I don't have any of these yet
Other Memberships If you are involved in or with any other motorcycle-related clubs, groups or organisations, please tell us which one(s)?
Skills What unique skills do you have that could help the MRA if needed?
Payment Details

For Credit Card Online Payment (Visa or Mastercard only), please complete:

Card Type:

Card Number:

Expiry Date:

Name On Card:

Accepted Cards

For cheque or money order payments, please send payment to:
Motorcycle Riders' Association of South Australia Inc
GPO Box 1895 ADELAIDE SA 5001

For EFT payments, the EFT details will appear on the confirmation screen.
Please note that we can only accept EFT if you are renewing your membership.

Terms and Conditions By completing this form, you must agree to abide by the Articles, Rules and Constitution of the MRASA.
Note that your membership will only be accepted if you agree.
New membership subject to Committee approval.
Postal notes or cheques must be cleared by the MRASA before memberships can be processed.

I Accept these Terms. Sign me up

The MRASA will keep all member details strictly confidential, and used internally only where appropriate.
  By submitting this form, you agree to be bound by all Terms & Conditions of the MRASA, as well as to abide by any Policies and the Constitution.
New memberships are subject to approval of the Committee at its next meeting, which may take up to four weeks in some cases.
Credit cards will be debited once memberships have been approved. Postal notes or cheques must be cleared by the MRASA before memberships can be processed.

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