Clubs

Membership Category:*

Title:

First Name:*

Last Name:*

Date Of Birth:*

Sex:

Email:*

Alternate Email1:

Alternate Email2:

Address:

Suburb:

Country:

State:

Post Code:

Home Phone:

Mobile:*

Address:*

Suburb:*

Country:

State:*

Post Code:*

Work Phone: Ext:

Fax No.:

Important Note: Our Club is a Fair Play activity providers. To redeem a fairplay voucher members are asked to email our club via [email protected]:

Photo use: I give permission for photos to be used on RDHC Facebook Page /Newsletters /Flyers and Website :*

Yes

Club Code of Conduct Agreement. I/we agree to abide by the clubs code of conduct and rules of riders.:*

Yes