Membership Application for High Country Cruisers

Please print this form and mail to the address below with your check

Name: __________________________________

Spouse's Name: _________________________________

Street Address: __________________________________

City: __________________ State: ________ Zip: _____________

Home Phone: ________________ Work Phone: ________________

E-mail: ______________________________
How long have you been riding? ________
How long has spouse been riding? __________
Brand of Motorcycle? ___________________
Spouse's Brand? __________________
What type of activities would you like to see the club do? __________
_____________________________________________________
_____________________________________________________
Would you be willing to work on committees? (circle)   Yes   No
Would you be willing to be an officer in the club? (circle)  Yes   No
Do you have any other comments?: ____________________________
_______________________________________________________
_______________________________________________________

Membership Yearly Dues: is $30.00

In completing this membership application and paying the yearly dues, I agree to abide by the By-laws of the High Country Cruisers.  I also hereby waive all claims against the High Country Cruisers organization, and its officers, members or sponsors for any injury or damage to my personal property or body while traveling to, from or during any club sponsored event or meeting.

Please send a check or money order ($30.00) and this application to:

High Country Cruisers
57 Neshoba Ct.
Ellijay, Ga. 30540
706-698-1211