Membership Application

Membership application & renewal form

Full Name

Address

Town/City

Postal Code

Email

Membership No. (use a zero, "0" if not known)

Cell Phone and/or landline

Select ONE type of membership

You can pay in advance for up to three year’s subscription

Date of payment

Select the opt-in box for your contact details to be provided to your area rep

Please fill out motorcycle details below. This is to update our register of club eligible machines. (NZ members only please). Please fill out as follows: Year, Make, Model, Frame Number, Engine Number

Address

* Your newsletter will be in partial colour and emailed to you as PDF within the first two weeks of each due month. If you nominate to receive your newsletter by email you will not get a hard copy in the post.

Please pay by Direct Credit into the Register’s bank account:
Bank: Westpac Branch: Kaiapoi
Account Number: 03-1585-0035448-00
Account: NZ AJS & Matchless Owners Register Inc.

Please INCLUDE your name in the payment reference field

International Members. Once your application has been received, Murray McLean will email you the details to enable payment either via PayPal or Swift. Please note newsletters will be emailed to you.

Note. All applications are subject to approval by the Committee.
If, for some reason your application is declined, you will receive a full refund.

Membership application​ & renewal form

Membership application & renewal form