Concerned Bikers Association (CBA)

 

Membership Application

 

 

Yearly dues for new members:  Single = $25, Couples = $35

(Yearly renewal dues: Single = $25, Couples = $35)

 

Membership is encouraged for riders of ALL makes and ALL models.

 

Date __________________ New  ________ Renewal ________

 

Name______________________________________________

 

Address_____________________________________________

 

City ____________________ State  _______ Zip  ___________

 

Phone (_____) _______________ Email  __________________

 

Age______ Occupation    _______________ Average Miles driven per year    _________

 

Any other Motorcycle Affiliations (clubs, organizations, MROs)    ______________________

 

Are you a registered voter?    ________

 

I understand by signing my name to this application, I am seeking membership into a brotherhood, united in freedom for all bikers rights. Toward that end, I will follow the meaning of that word. I also understand that the CBA cannot assume responsibility for any aspect of my safety. I understand that my participation in any CBA activity is strictly voluntary and further, I release the CBA or any CBA member from any loss to my person or property.

 

Signed______________________________________________

 

Please mail completed application to:

C.B.A.

PO Box 408 Apex, NC 27502

(919) 363-8662

HOME

 

 

 

V.N.