Please fill out the following form and click on the PRINT button.
Sign it, place in an envelope along with a cheque for $30 and send it off to the address below

    First Name 
    Last Name  

    Street  
    City    
    State      Postcode 
    

    Phone Home   
    Phone Bus.   
    Mobile       
    Email        
    Would you like notice of events sent by email  

On the successful admission as a member to the Association, I agree to be bound by its rules.

Signature of Applicant: ………………………………………………………………………
Date:……………………
Please send this form along with a cheque for $30 payable to
The Classic Italian Motorcycle Association of Australia (NSW) Inc. to:

        The Secretary CIMAA (NSW) Inc
        PO Box 4198
        Winmalee
        NSW 2777