Membership Application
Yearly dues for new members: Single = $25, Couples = $35
(Yearly renewal dues: Single = $25, Couples = $35)
Membership is encouraged for riders of ALL makes and ALL models.
Date __________________ New
________ Renewal ________
Name______________________________________________
Address_____________________________________________
Phone (_____) _______________ Email
__________________
Age______ Occupation _______________
Any other Motorcycle Affiliations (clubs,
organizations, MROs)
______________________
Are you a registered voter?
________
I understand
by signing my name to this application, I am seeking membership into a brotherhood,
united
in freedom for all bikers rights. Toward that end, I will follow the meaning
of that word. I also understand
that the CBA cannot assume responsibility for any aspect of my safety.
I understand that my participation in any CBA activity is strictly voluntary and further,
I release the CBA or any CBA member from any
loss to my person or property.
Signed______________________________________________
V.N.