Simpson Desert Bike Challenge - Membership Form

The purpose of the association is to organise and conduct mountain biking events, including the Simpson Desert Bike Challenge, which will
a) Provide opportunities for personal achievement in a sporting challenge
b) Support community interest through raising funds for recognized charities
c) Foster appreciation of the Australian Outback and the natural environment.

 Desert Challenge Logo

*Please note that if you have entered as a rider you will automatically become a member for the 12 months after your event.

SDBC Member
  Membership
$
 20 Membership for 1 year
Personal Details
First Name:
Surname:
Date Of Birth:
 Day Month Year 4 digits e.g. 1975
Gender:
 Female    
Address:
City:
State:
Postcode:
Country:
*Home Phone:
Mobile Phone:
Work Phone:
Email:

*At least one phone number must be included

Declaration

I support the objects of the association and hereby apply for membership.
I agree to be bound by the rules of the association.

I Accept:
My application is supported by members of Desert Challenge Inc as indicated below:-
Nominated By:
Seconded By:
*Please contact us if you need nominee names
Payment
Go to Secure Payment System
Amount Due