Ducati Owners Club Queensland
   Membership Renewal - Renewal

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Ducati Owners Club of Queensland

Renewal Form

Please Login before using this form to renew your membership.

Personal Details - Please Update where appropriate.


 Note Fields with * are compulsory.
First Name: *
Surname: *
 Membership Number:
Address 1: * Address 2:
Suburb: *
State: *
PostCode: *
   
Occupation:
Shirt Size:
Phone:
Mobile:
Fax:
Bikes Main Ride:  
Bikes In Shed:  


Membership Information
Username / Nick: Nick Name, or Unique Tag for Message Boards etc
Login Email:  
Login Password:* *(If changed, please use NEW details next time you login.)
Magazine Delivery: ^ ^note Download from website recommended for online method


Membership can be paid by cheque or direct Internet payment.
An email will be sent once this form has been processed with more details.
The members secretary will process application usually within 7 days, of receiving payment;

Full year membership: 1st January to 31st December - $40.00


You must login, to renew your membership via this page.


All information gathered is confidential and not distributed to any third party.

Members click here to get your Login details!



Members Login
Email:
Password:


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