APPLICATION FOR MEMBERSHIP

ISHI CHAPTER, INC.

ANTIQUE MOTORCYCLE CLUB OF AMERICA, INC.

 

 

 

MAIL TO:    ISHI CHAPTER, INC.

                  4328 ALTA TINA DRIVE

                  CHICO , CA. 95928
 

 

 

 

Membership dues are paid for one year. Make checks or money orders payable in U.S. funds to the above address. You must be a current member of the “Antique Motorcycle Club of America” to apply for membership in the ISHI CHAPTER, INC. A spouse, or relative may be included in a membership, as an associate member, at no extra cost.

Dues will be $20.00 per year. One (1) year at a time, due January of every year.

 

 

      PLEASE PRINT NAME AND ADDRESS BELOW:

 

NAME:_________________________________AMCA#______________

ADDRESS:___________________________________________________

CITY________________________________________________________

STATE:__________________ ZIP CODE:_________________________

PHONE:_____________________ EMAIL_________________________

ASSOCIATE MEMBER:_______________________________________