SMC MEMBERSHIP APPLICATION
Email address *
APPLICANT INFORMATION
Name *
Date of Birth *
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Driver's License *
State *
D/L Expiry Date *
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Mobile *
Other Phone Number (Home/Office)
Current Home Address *
City *
State *
Postal Code
Email *
Motorcycle Endorsement
Clear selection
Motorcycle Year
Motorcycle Make
Motorcycle Model
Insurance Company
Policy Number
EMERGENCY CONTACT
Name *
Relationship
Phone *
Email
Address
City
State
Postal Code
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? *
2. Do you agree to abide by the Rules and Regulations of the Sikh Motorcycle Club? *
3. Do you agree to abide by the Policies and Procedures of the Sikh Motorcycle Club? *
4. Do you agree to support the Mission and Vision of the Sikh Motorcycle Club? *
Your Interests and/or Skills (check your choices)
MEMBERSHIP LEVEL
You will receive a separate email for membership fee payment arrangements or a membership coordinator will contact you.
(Choose 1) *
Required
*One Time Initiation Fees of $200: For Club Members only: includes club patch which is the SOLE property of the Sikh Motorcycle Club. **Annual Renewal Fees: $100 over age 25 and $35 for Student Members. *Initial below to acknowledge the terms of the Full Membership _______ *
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. *
Required
NAME OF APPLICANT (SIGN)
DATE OF APPLICATION *
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A copy of your responses will be emailed to the address you provided.
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