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Membership Application

 

 
 
 
 
 Jersey Shore Area Red Knights Motorcycle Club

PA Chapter XXXII

 

Membership Application

 

 

 

Name:           ________________________  Date:            _______________________

 

Address:      _____________________________________________________________

 

Fire Co:       _____________________________________________________________

 

Email:          ________________________  Phone:    __________       Cell:____________

 

Drivers

License #:    _______________________    State:            _______________________

 

Motorcycle                                                    Cycle

Type:           _______________________    Insurance #:  _______________________

 

Emergency

Contact:       _______________________     Phone:         _______________________

 

 

Membership Applying For:  ________________________________________________                                                                          

 

 

Annual membership fees of $20.00 are due before your membership is voted on (refunded if membership is not approved).
 
Make Checks Payable to Red Knights MC PA Chapter 32 and mail with application.
You can also give it to any Club Member or bring it to our next meeting
 
 

Jersey Shore Area Red Knights

PA Chapter XXXII

PO Box 175

Jersey Shore, PA 17740
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