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 | 