Military Veterans Motorcycle Association Active Member

MVMA MEMBERSHIP APPLICATION

BECOMING PART OF THE FAMILY
Name*

First NameLast Name
Road name
Date of birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
BRANCH OF SERVICE*
Veteran Status:*
Discharge Type*
Sponsoring Veteran
Have you been convicted of a felony or violent crime in the last 10 years?*
THE MVMA CONDUCTS BACKGROUND CHECKS AND MAY DENY MEMBERSHIP AT ITS DISCRETION
Explanation if yes:
ACTIVE/DEPUTY DETACHMENTRESERVE MEMBERSHIPYOUTH RESERVE 16 -17YOUTH AUXILIARY 8 -15
DD 214 (optional) proof will be required

Cancelof
Do you own a motorcycle?*
"THE MVMA DOES NOT REQUIRE ANY PARTICULAR MAKE OR TYPE OF MOTORCYCLE, THE ONLY REQUIREMENT IS THAT YOUR MOTORCYCLE MUST MEET YOUR STATE'S STATUTORY DEFINITION FOR MOTORCYCLES"
Additional Information:
Do you belong to any other organization like the MVMA, such as associations/organizations, riders groups or clubs, etc?*
If yes please list what other organization(s)?
How did you hear about us?
Why are you interested in joining our association?
Do you have any special skills or interests you would like to contribute as a member?
Any other comments or questions?
Thank you for applying! A member of the Military Veterans Motorcyle Association will contact you shortly
Declaration:

I certify that all information provided in this application is true and accurate to the best of my knowledge. I understand that membership approval is at the discretion of the association and may be subject to review.
Disclaimer:

I agree to indemnify and hold harmless the MVMA, it's officers, members, designees from any harm, damages, etc., to myself or my property while attending/participating in any MVMA event.
Agreement to Disclaimer*
Signature
Date

MonthDayYear
Date
Should be Empty:

MVMA MEMBERSHIP APPLICATION

Additional Information: