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Welcome to BMWMC
Please complete the form to join

What membership are you signing up for?

Total

Your Details:

First Person Registering

First Last

First Person's Email

Rider's Mobile No.

Rider's Home Phone.

Rider's Date of Birth

If you’d rather not leave your DOB, please put your correct year of birth and the day/month as 01/01.

Pillion/Partner's name

Pillion/Partner’s First name Pillion/Partner’s Last name

Pillion/Partner's Email

Pillion's Mobile No.

Pillion/Partner's Date of Birth

If you’d rather not leave your DOB, please put your correct year of birth and the day/month as 01/01.

Pillion/Partner to Whom?

The Rider's/Owner's Membership No.

Leave blank if not known

Home/Postal Address:

Address*

Street Address Address Line 2 City Region Postcode

Which Area Rep Region are you in (or closest to)?*

Emergency Contact (ICE Preferred):

Emergency Contact Name

Emergency contact's mobile no.

Membership Details:

What motorcycle(s) do you own?*

Total

Please List All BMWs Owned*

Model

Year

Please List All BMWs Owned*

Brand

Model

Year

What prompted you joining today?

Good to know – Please tell*

Who do you insure your bike with?*

I'm insured with:

Thank you – Would you like to pay by PoliPay ($1.50 Fee), Card ($2.50 fee) or prompt Bank transfer (no surcharge)?*

Product Name *

Price: $ 0.00

Are You Paying by:

Are You Paying by:*

Debit/Credit Card

PoliPay

Bank Payment

Are You Paying by:*

Debit/Credit Card

PoliPay

Bank Payment

Acc no. 03-1519-0034447-00

PARTICULARS: Surname

CODE: SUBS New

REF: Form ID (on email received) or Mb number

Credit Card*

Price

Option

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