Membership Application
Idaho Vintage Motorcycle Club Application for New or Renewal of Membership
Please print or type legibly – we will use this information for our club roster (address will be omitted from roster for security reasons)
NAME________________________________________________________________________ ADDRESS____________________________________________________________________ CITY_____________________________________STATE__________________ZIP__________ TELEPHONE__________________________________ E-MAIL_______________________________________
Would you like your name/e-mail/photos added to the club website & Megaphone newsletter? (circle one) Yes No
YEAR(S) OF MOTORCYCLE(S) ________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
MODIFICATIONS / NOTES _________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
Please make a $10.00 check or money order payable in U.S. funds to: Idaho Vintage Motorcycle Club
Mail to:
Idaho Vintage Motorcycle Club
11371 Hercules Dr.
Star, Idaho 83669
U.S.A.