Veteran POW-MIA Riders, Inc.

      Membership Application

 


 

NAME: (Print)_____________________________________________________________

ADDRESS: _______________________________________________________________

 

CITY/STATE/ZIP: ________________________________________________________

 

PHONE NUMBER: ____________________EMAIL:____________________________

 

MARITAL STATUS: ___________________SPOUSE’S NAME: ___________________

 

BRANCH OF SERVICE: _______________DISCHARGE DATE:_________________

(for Veteran  Membership Only)

CURRENT MOTORCYCLE:_______________________________________________

 

SPONSOR:___________________________________________________________________________________

(List the Member who recruited you to Veteran Riders)

 

I understand that by submitting my application to the Veteran POW-MIA Riders, Inc., and after being accepted as a full Veteran Member or Non-Veteran Member,  it will be my duty and responsibility to up hold all club rules written or verbal. I furthermore understand the risk I take while riding a motorcycle on any club ride or event, and will not hold the Veteran POW-MIA Riders, Inc. or any of its club officers responsible for any accident or damage that I may cause to others or to myself.

I understand that while participating at any event that the Veteran POW-MIA Riders, Inc. is hosting or attending that I am expected to act like a responsible adult. I furthermore understand that while on the road, I will ride by the clubs rules and obey all laws, local, state and federal. I will never dishonor the club colors (Veteran Riders) and I will pledge to support their mission statement.

By signing this application, I hereby signify that I have read and understand the conditions of membership and assume all responsibility for my actions.


I (Print Name) ___________________________________ have read the conditions of membership and assume all responsibility for my actions as listed above.


Applicant’s Signature: ______________________________        Date: _____________

****Return application to a club member along with your Initial Membership Application Fee and Dues to cover the cost of your Patches of $55.00. You will be notified of acceptance within 90 days of application.****

Membership Approval Date: _____________________
Officer Signature: ______________________________