MEMPHIS TOUR RIDERS

Membership Application or Renewal  

(Please circle one)

The Memphis Tour Riders is open to Riders of all brands of motorcycles, the families, or motorcycle enthusiasts.  In order to cover the minimal cost of operation of the non-profit corporation, annual dues of $24.00 per family are assessed by Memphis Tour Riders. The dues shall be payable the first meeting in April and will be prorated on a monthly basis, based on the month of your original date.

The following information as submitted by the applicant is confidential and will not be released to anyone not affiliated with Memphis Tour Riders.

Upon submitting your application, please have your check attached payable to Memphis Tour Riders, to a Club Officer or mail to 8285 Chippingham Drive, Cordova, TN 38016-4521 and upon receipt you will be added to the membership list and receive our monthly newsletter.

 

WELCOME TO THE MEMPHIS TOUR RIDERS

Please print

Name: ____________________________________________                Spouse_____________________________

 

Address: __________________________________________________Apt: _______________________

 

City: ______________________State: __________________________Zip: _______________________

 

Home Phone: __________________Work: _____________________Cell: ________________________

 

Motorcycle Information: Brand_________________________________Model: ___________________

 

Birthday: Month: ____________Day: _____Anniversary: Month: ______________ Day: __________

 

Spouse:    Month: ____________Day: _____

 

Years-Riding Experience: _________

 

E-Mail Address: _____________________________________________________________________

 

Notify in Emergency: ____________________________________Phone__________________________

 

Release, waiver and Indemnity Agreement

It is understood that certain information and suggestions will be discussed at monthly meetings, rides, events and rallies, and each member hereby holds harmless Memphis Tour Rider as to any information received by the member from Memphis Tour Riders, and hereby waives any rights of action they presently have or might have in the future as to Memphis Tour Riders.

 

________________________________________       __________________________________________

Signature of applicant                                                                Signature of co-applicant

 

_____________________________________________  This______Day of ______________, 20 __

                                Witness

MTR 04022002 Rev. 02112003/03172004

 

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