Application Form

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Application Form

* Indicates required question

Name *

Your answer

Address *

Your answer

Occupation (optional)

Your answer

Phone

Your answer

Email *

Your answer

Motorcycle Make and Model (optional)

Your answer

Type of Membership

Choose

NEW - Individual $30.00 includes 1 badge

NEW - Family $40.00 includes 1 badge

Renewal - Individual $20.00

Renewal - Family $30.00

Method of Payment *

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Internet Banking

Cash

Cheque

Additional Badges $10.00 each

Choose

1

2

3

Enter Final Total to Pay Below *

Your answer

Submit

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