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RED KNIGHTS MOTORCYCLE CLUB Membership Application Florida Chapter 7 |
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NAME: |
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NICKNAME: |
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SPOUSE NAME: |
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NICKNAME: |
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ADDRESS: |
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PHONE # HOME: |
PHONE # WORK: |
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PHONE # CELL: |
STATION #: |
SHIFT: |
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EMAIL: |
POSITION: |
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YOUR BIRTHDAY: |
SPOUSE BIRTHDAY: |
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MOTORCYCLE |
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BIKE #1 |
BIKE #2 |
BIKE #3 |
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MAKE: |
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MODEL: |
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YEAR: |
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# YEARS OF MOTORCYCLE RIDING EXPERIENCE: |
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LIST ANY MOTORCYCLE-RELATED COURSES TAKEN: |
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LIST CLUB AFFILIATIONS: |
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DO YOU WANT MEMBERSHIP DUES PAYROLL DEDUCTED? |
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DOES YOUR MOTORCYCLE HAVE A CB RADIO? |
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WOULD YOU BE INTERESTED IN BEING A ROAD CAPTAIN? |
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ADDITIONAL INFO, IDEAS, OR SUGGESTIONS: (Please list on back of page) |
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SIGNATURE: |
DATE: |