| Membership Application |
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| Name ____________________________ |
| Address(street)___________________________________ |
| City ___________________________________________ |
| Daytime phone# ___________________________Night#____________ |
| E-Mail_________________________________________ |
| Make and model of bike owned _____________________ |
| Free T-shirt (check size) S___ M___ L___ XL___XXL___ |
| Please print this page and return application along with $25 initiation fee & $2 per month dues (pay all remaining months of year) |
| Santa Barbara Motorcycle Club ATTN: Jim Ciontea 4591 Camino Del Mirasol Santa Barbara, CA 93110 |
| Type of riding preferred ___________________________ |
| By signing below I ceritify that I recognize that riding motorcycles is dangerous and hereby agree to hold the Santa Barbara Motorcycle Club and it's Officers harmless from any liability whatsoever for my death or any injury which I may sustain, or any equipment damaged while taking part in any club or non club event. I agree to ride at my own safe pace and make my own evaluations and decisions regarding route and trip safety. Signed ________________________________________ Dated ____________________________ |