On-Line Membership Form

Membership Application/Renewal

Retreads Motorcycle Club International Inc.

AMA Charter No. 3233
Alberta / British Columbia

Membership Application Form

Required *

Name *

Date of Birth *

Membership Card #

Co-Rider Name

Co-Rider Birthdate

Charter Affiliate *

Address - Apt. # or Box #

Street

City & Province *

Postal Code *

Telephone *

Email Address *

Would you like your name & number published in the Chapter phone directory? * Yes No

By clicking the Submit button below you agree that the Alberta Retreads Motorcycle Club international Inc. (the Retreads) cannot assume responsibility for any aspect of your safety. You also agree that your participation in any Retreads activity is strictly voluntary and farther, you agree to release and hold harmless the Retreads or any Retreads member from any injury or loss to your person or property.

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Alberta Retreads

Motorcycle enthusiasts aged 40+ years