Rider Affiliation

You must first be a member of AMA Rider to get AMA Riding Affililation.

Please view the information below about Affiliation.

If you are a current AMA Rider member, please complete the form below to Affiliate with AMA.

Organisation Name:

Title

First Name

Middle Name

Last Name

Username

Password

Confirm Password

Membership Product

Address 1

Address 2

Suburb

State

Country

Postcode

Phone Number

Mobile Number

PROMOTER - PLEASE ENTER EXISTING ORGANISATION DETAILS

Position of Applicant in Organisation

Name of Principal Contact in Organisation

Organisation Type

Organisation Address

Organisation Suburb

Organisation Post Code

Organisation State

Organisation Email

Organisation Phone

Organisation Website / Social Media Address

SUBSIDIARY - PLEASE ENTER NEW ORGANISATION DETAILS

Subsidiary Name

Subsidiary President Name

Subsidiary Vice President Name

Subsidiary Treasurer Name

Subsidiary Secretary Name

Subsidiary Email

Subsidiary Phone

Subsidiary Website

Home Club

I have read, understand and will abide by the terms and conditions of AMA

I Agree