Jolly Rogers Motorcycle Club, Seattle WA

 

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Membership Form

The Jolly Rogers Motorcycle Club is soliciting new members. There is NO dues structure (yet). New members pay $100 to join, and also receive a shirt with logo, membership certificate, membership card and old memorabilia poster copies promoting past events. Also available are collector metal trucks with logo for $50 (see Merchandise). 
We are not brand specific.  All bikes are welcome!

 Please fill out the Membership Form completely and click Submit below. 
We will be in contact with you shortly.

Please identify and describe yourself:

First Name *  
Last Name *  
AMA #  
Date of Birth *   format: mm/dd/yyyy

Please provide the following contact information:

Street Address *  
Address (cont.)  
City *  
State/Province *  
ZipCode *  
Country  
Work Phone  
Home Phone *   format: 999-999-9999
FAX  
E-mail *  

Tell us about your riding experience, motorcycle etc.

 

Spam Protection Question:
Is ice hot or cold? *		  

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Please note your personal information is kept confidential.


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