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Print this form, complete it and mail with payment to address below :
I understand that SoberBikersUnited cannot be assume responsibility for any aspect of my safety. I understand that my participation in any SoberBikersUnited activity is strictly voluntary and futher, I release and hold harmless SoberBikersUnited or any SoberBikersUnited member from any loss to person or property.
My act of paying SoberBikersUnited dues means that I have read, understand, and comply with the above statement.
Sober Bikers United, Inc.
Membership Application For
Your Name : ___________________________________
Address : _________________________________
City, State, Zip : _________________________________
Phone : (______) ______________________
Email : ___________________________________
Your Road Name ( nick name ) : ______________________________
Your Birth date : ___________________________
Application Type :
____ Member ( Recovering Person )
____ Support Member ( All others )
Sobriety Date ( Recovering Person ) : (M/D/Y)_____________________
Previous MC Affiliation : ______________________________
AMA membership # ( Optional ) _________________________________
( Not a Requirement )
* Membership Rates :
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January $35
February $32.50
March $30
April $27.50
May $25
June $22.50
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July $20
August $17.50
September $15
October $12.50
November $10
December $7.50
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Sober Bikers United, Inc.
c/o Nano Johnson ( SBU Treasurer )
2309 South Neel St.
Rapid City, S.D. 57703
Mail Form and Payment to : |
Cruise 2009
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