SMC MEMBERSHIP APPLICATION
* Required
Email address
*
Your email
APPLICANT INFORMATION
Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Driver's License
Your answer
State
Your answer
D/L Expiry Date
MM
/
DD
/
YYYY
Mobile
Your answer
Motorcycle Endorsement
YES
NO
Phone
Your answer
Insurance Company
Your answer
Policy Number
Your answer
Other Contact
Your answer
Email
Your answer
Current Address
Your answer
City
Your answer
State
Your answer
Postal Code
Your answer
Motorcycle Make
Your answer
Motorcycle Model
Your answer
Motorcycle Year
Your answer
Option 1
EMERGENCY CONTACT
Name
Your answer
Relationship
Your answer
Phone
Your answer
Email
Your answer
Address
Your answer
City
Your answer
State
Your answer
Postal Code
Your answer
General Vows/ Commitment to Sikh Motorcycle Club, (a California Non-Profit)
1. Do you authorize SMC to share and publish your Photographs, Audio and Video, in our newsletter, website, social media, televised publications and/or directory?
Yes
No
2. Do you agree to abide by the Rules and Regulations of the Sikh Motorcycle Club?
Yes
No
3. Do you agree to abide by the Policies and Procedures of the Sikh Motorcycle Club?
Yes
No
4. Do you agree to support the Mission and Vision of the Sikh Motorcycle Club?
Yes
No
Your Interests and/or Skills (check your choices)
Local Rides
Annual Ride
Community Outreach
Dastaar (Turban) Tying
Video/Photography
Event Organizer
Communications/Media Person
Fundraiser Events
Poker Runs
Social Media
Other:
MEMBERSHIP LEVELS
One Time Initiation Fees: For Club Members only: includes club patch which is the SOLE property of the Sikh Motorcycle Club. *Initial_______ **Annual Club Membership Fees: $100 one payment or $10 per month recurring fees.
Your answer
Membership Level
Associate Member; $50
Paid Club Member: $120** Paid Student Member; $35 Paid Initiation Fees: $200*
Paid Student Member; $35 Paid Initiation Fees: $200*
Paid Initiation Fees: $200*
AUTHORIZATION
I authorize Sikh Motorcycle Club to conduct a safety check at any time during my membership with the club. I understand that none of the trips or other activities organized by the Sikh Motorcycle Club is covered by any insurance. The club has no responsibility for the craft or its driver. I authorize the verification of the information provided on this form by the administration of Sikh Motorcycle Club.
YES, I AGREE
NAME OF APPLICANT (SIGN)
Your answer
DATE OF APPLICATION
Your answer
A copy of your responses will be emailed to the address you provided.
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