THIS IS A PRINTABLE FORM ONLY PLEASE PRINT AND RETURN THIS ENTIRE SHEET TO:


MAG (UK), PO BOX 750, RUGBY, CV21 3ZR

TEL: 01788 570065 FAX: 01788 570052

BLOCK CAPITALS PLEASE.


MEMBER DETAILS


Name (1) ………………………………………………..…………………………… D.O.B ……...…/…..….…/……….…..


Name (2) ………………………………………………..…………………………… D.O.B ……...…/……...…/……….…..


Address ………………………………………………..……………………………..…………………………….…………..

………………………………………………..…………………………………..……………………………….…..

…………………………….……………………….….Postcode…………………..…………………..………...…


Daytime Tel No. ……………………………………………………………………………………………………………...…….…..


E-mail ………………………………………………..…………..…………………………………….…………….…..…..


Membership No. (If Applicable) ……………………………………………… NEW/RENEWAL


If New Where/How did you hear about MAG ……………………………………..……….…………….……….…………..………


MEMBERSHIP FEE


Individual / Joint / Family / Life £……………..………


Donation £……………..………


Total £……………..………


PLEASE MAKE CHEQUES PAYABLE TO MAG (UK)

MEMBERSHIP RATES


Annual: Individual £20 (£5 discount on first year of MAG individual membership if aged between 16 years to 25 years D.O.B. required)

Joint £30


Family: As above + £3.50 per child

(Please provide children’s names and D.O.B’s on separate sheet and attach to this form)


Life: Individual £300 Joint £450


Membership rates include a donation to the Federation of European Motorcyclists Associations (FEMA).

Details from MAG (UK).



To Join MAG by Credit/Debit Card


Visit the MAG Website at www.mag-uk.org


or


Call FREE on 0800 988 3190


During office hours.


Section below to be completed by all applicants.


I/We apply for membership for MAG (UK) and agree to abide by the constitution, standing orders and rules of the group. I/We understand that MAG is committed to the eradication of motorcycle theft and declare that I/We will never participate in any form of motorcycle theft or handling of stolen motorcycle parts.

Membership details are strictly confidential and we do not sell or exchange address files, although your details may be made available to your regional organiser. If you do not wish to have your details made available to your regional organiser or receive details of other MAG offers please tick here


Signature (1) ……………………………………………. Signature (2) …………………………………………….