Gold Business Membership Form

Name of Account Holder*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number:*

Area CodePhone Number

Referred By

Membership*

Single Membership($35.00 for each year)

50% of tuition up to $250, safety scholarship application. (Must have Pre approval from ASC Board) ASC business member discounts E- Mail Monthly newsletter Fun Club Rides To receive text notifications of ASC events, Cell Phone is required.

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By clicking the "Pay Now" button you are submiting your online application and will be re-directed to Paypal to submit your payment. Once we recieve your payment, we will contact you about your Membership.

Thank you!