Madison BMW Motorcycle Club Membership Dues

Member Name

Please Provide Your

Registrion Options

New Member
Price $30.00
Membership
Renewal
Price $30.00
Membership

Spouse/Partner Name

Indicate Your Spouse/Partner's

Spouse/Partner
Price $5.00
Spouse Membership

Total Amount Charged

$0.00

Club Affiliations

If you are a member of any of the following clubs, please list your member number. If your member number is unknown, simply enter "YES" in the appropriate field.

BMW MOA Member #

BMW RA Member #

AMA Member #

Your Motorcycle Collection

Please list the year and model of motorcycles you currently own

BMW Motorcycle #1

BMW Motorcycle #2

BMW Motorcycle #3

Other Brand Motorcycle #1

Other Brand Motorcycle #2

Club Activities

Would you be interested in volunteering for various club activities? Please indicate which club functions you where you might assist.

Volunteer Opportunities

Club Newsletter (Submitting articles or production)
Administering the Club Rally
Administering the Club website
Assisting with Club events
Membership Recruitment
Other (Please contact me to discuss)

Which Madison club activities interest you the most?

List your interests

Do you know someone else who would be interested in join the Madison BMW Club? Please provide their name and contact information and an officer will extend an invitation.

Potential Members

Terms*

I, we, or either of us, hereby agree to release Madison BMW Club, Ltd., its officers, agents or membership, of and from any liability for any injury and or loss to any person, vehicle or property, actual or punitive, which may arise by reason of my/our participation in any event involving Madison BMW Club, Ltd.

I have read and agree to the terms above.

Billing Information

Name*

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*

This page is secured with 256 bit encryption

Fundraising Software by GivingFuel