BLACKTOP SAINTS RIDING CLUB APPLICATION

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Being a Blacktop Saint is about friendship, riding motorcycles, respect, honor and community pride/service. Blacktop Saints RC does not claim any territory nor do we wear a territory rocker. We are a neutral club and recognize the right of all other clubs to coexist in mutual respect. We will not involve ourselves either individually, or as a group, in any aspect of other RC/MC clubs policies, politics or business…no exceptions!

IF YOU ARE VOTED INTO THE CLUB ANNUAL DUES ARE $120 AND $120 FOR PATCH FEES, THERE WILL BE A MINIMUM $20 BACKGROUND(MORE WILL BE REIMBURSED IF A RECEIPT IS PROVIDED) CHECK FEE THAT YOU PAY ONLINE PRIOR TO VOTE AND YOUR FIRST YEARS DUES WILL BE REDUCED TO OFFSET THAT COST IF YOU ARE VOTED INTO THE CLUB.

EVERY MEMBER MUST SUBMIT TO A BACKGROUND CHECK.

Please enter your name. *

What would you like your club nickname to be?

The Club reserves the right to change your nickname at a later date.

What is your email address? *

Street address? *

City and State of residence? *

Phone number, cell or home *

What is your date of birth? *

YYYY

Are you married, spouses name. *

What is your present occupation, employer?

What motorcycle make/model do you own? *

Do you have insurance on your motorcycle? *

Yes

Have you ever been denied membership or withdrawn from an organization? *

yes or no with explanation please.

Have you ever been convicted of a felony? please explain. *

Are you a member or have you ever been a member of a MC or RC? *

Have you ever been denied membership or withdrawn from an organization? *

Are you currently in or served in the military? *

Emergency contact #1, name and number: *

Emergency contact #2, name and number:

Do you have a AMA membership? Please enter number. *

Have you met or spoken to a current BSRC member? If yes, who? *

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