N.Y.9        Membership Application       N.Y.9

  

Name:                                                                                                                 Date:                                                       

  

Address:                                                                                                             Apt.#:                                                       

  

City:                                                                                         ,  State:                                 Zip:                                      

  

Phone #:                                                                                     Mobile #:                                                                      

  

Fire Company You Are Affiliated With:                                                                                                                        

  

E-Mail:                                                                                                                                                                               

  

Sponsor's Name (for Social, Honorary, or Associate Membership)  :                                                                 

  

Membership Type (Circle One):               Active                Social               Honorary

  

Member Certification:

I, The undersigned, do hereby apply for membership in the Red Knights International Motorcycle Club, New York Chapter 9.  I agree to abide by the constitution and by-laws of the club and the rules and regulations governing membership.

  

Signature:                                                                                 Date:                                          

  

Annual Dues are  $17.00.            Membership runs from January 1st to December 31st each year.

                                                                                                                                                                                                     

Please return completed application with dues to:

Cheryl Weiler, Secretary RKMCNY9,   3488 Cemetery Street,   Kennedy, NY 14747

Membership Committee Use Only

          Application                                           Initials of Membership

Approved     Rejected                                 Committee Chairperson    ______________

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