J'Ville Riders Membership Application
Thank you for your interest in the J'Ville Riders. You're applicatiion will be viewed by our Membership officer. We will be contacting you shortly with additional information.
Email address *
J-Ville Riders M/C, Inc.
Last, First Name: *
Your answer
Nickname:
Your answer
Date of Birth: *
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/
DD
/
YYYY
Age: *
Your answer
Race: *
Sex: *
Home Address: *
Full address, including city, state, and zip code
Your answer
Home and Cell numbers *
Your answer
Are you a current or pass member of another club: *
If so, which club(s)?
Your answer
Why are you interested in becoming a J'Ville Rider? *
If you were refered by a member, please include their name in your narrative.
Your answer
What's your status? *
If you don't own a bike, skip the next questions and hit the submit button.
Motorcycle make, model, year, and color: *
All members with a motorcycle are required to have their endorsement before the probationary period ends. Please let us know if you have any questions.
Your answer
Level of Motorcycle Riding Experience *
Do you have a motorcycle endorsement? *
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