Bike Manawatu Membership 2018
This form is for recreational and local club membership
Payment can be made online: 010745028492500 - (please put name as reference) or by eftpos at Palmfeild Motors Tremaine Ave, Palmerston North.
Family - $80 (3 or more)
Adult - $45
Junior - $25
Non rider - $10
Please register one person at a time on this form
If you wish to race formally at any level go to for a race licence.
Confirmation of payment and membership will be given through email.
Any queries contact
Full Name *
Your answer
Your answer
Contact Phone *
Your answer
Existing Bike Manawatu Member *
Date of Birth *
Gender *
Emergency contact *
Name and Number:
Your answer
Physical Address *
Your answer
Preferred Payment method *
Do you accept the following terms *
In joining Bike Manawatu I hereby acknowledge the risk and hazards involved while participating in club events and activities and do so at my own risk.
Please leave other comments here..
Your answer
Never submit passwords through Google Forms.
This form was created inside of BikeManawatu. Report Abuse - Terms of Service - Additional Terms