Membership Registration Form

  • Please fill out the Membership Registration Form carefully.
  • If you are a passenger only, please check the Passenger Only box and list your rider’s name & phone.
  • Membership Dues for passengers are optional. If you want to be Patched In, dues are required.
  • Form submission does not guaranteed membership.  Forms will be reviewed by Club Officers before final determination.

    Member Information


















    Sponsor Member


    Passenger Only Information (If you are the rider, leave this section blank)

    I am a passenger only





    Motorcycle Information (Passenger Only? Leave Blank)










    Driver's License




    Motorcycle Endorsement

    Emergency Contact




    By clicking the SUBMIT button, I certify the above information is correct and true.
    I understand that my membership, if approved, won't be valid until my membership dues are received.