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Indianapolis
BMW Club Inc. Membership
Application |
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Dues are
$25 per household for the calendar year.
Renewals must be received by Jan. 31, to be included in the next year
Club Directory. New
members joining after Sept. 1 pay a reduced rate of $12.50 for the remainder
of the calendar year. New
members must own and ride a BMW motorcycle at the time of application. Complete
this form and mail it and a check payable to Indianapolis BMW Club Inc. to: Indianapolis
BMW Club Inc. c/o Cindy Fort, |
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The information provided on this form is published in a
directory for the exclusive use of club members. If you would prefer that personal information
not be published, please leave blank. |
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Member 1 |
Member 2 |
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Name |
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Address |
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City, State, Zip |
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Home Phone |
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Work Phone |
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Cell Phone |
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Email |
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Birthday |
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Year started riding |
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Motorcycles you own |
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Other motorcycle organizations |
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Favorite |
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Favorite out of state trip |
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Would you like to volunteer to serve the Club? |
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I understand that the Indianapolis
BMW Motorcycle Club Inc. cannot assume responsibility for any aspect of my
safety and that if I participate in any Indianapolis BMW Club event, I do so
voluntarily on my own assessment of my ability, the routes and facilities and
conditions, assuming all risk; and I release and hold harmless the
Indianapolis BMW Club, its officers and members for any injury or loss to my
person or property which may result therefrom. I also certify that I am in
compliance with my state's financial responsibility laws regarding the
carrying of proper insurance. |
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Signature |
Date |
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