Name:
Birthdate:
Address:

Postcode:
Sex:
I/C Number:
Tel (Hse):
H/P Tel.:


Company:
Type of business:
Address:

Postcode:
Designation:
Tel (Off.):
Fax:
E-mail:


Car model:
Reg. No:

Road Tax Expiry:
Insurance Company:
Year of Manufacture:
Drivers License Number:
Car Insurance Expiry:
Chassis Number:





This certifies that the applicant wishes to be a member of the BM OWNERS CLUB MALAYSIA (BMOCM) and is entitled to all benefits and services thereof during the term of this membership. The Board of BM OWNERS CLUB MALAYSIA has the right to terminate memberships which violate club rules and regulations. The BMOC MALAYSIA shall not be held liable or responsible for damage to property or injury to persons during BMOC MALAYSIA organized activities. All BMOC MALAYSIA members participate in activities at their own risk.

If you agree with the terms and conditions of BMOC MALAYSIA, click SEND.