Red Knights Motorcycle Club

PA CHAPTER 15

PO Box 60724

Harrisburg, PA 17106-0724

Application For Membership

Fill out on line or print page or both

Name:

Address:

City: State: Zip:

Phone: (H): (W): (Cell Phone):

Nextel Direct Connect (If Applicable) **

E-Mail :

Membership Applied For: Active: Associate: Social:

Fire Department Affiliation:

Address: Phone:

City: State: Zip:

Career: or Volunteer:

(is this a ) Internet Application:

Name: Signature _________________________

Date:

____________________________________________________________________________________________

Official Use Only

Dues Received By _________________ _________________Date __________

Accepted Into Membership ___________ ________________Date __________

Instructions,

Fill out online or print Application, fill out and mail application along with check or money order to the above address.

Active-Available to active or retired firefighting and emergency personnel having access to a motorcycle and a valid motorcycle license.

Associate-Offered to a person who has substantially contribute to the promotion of the Red Knights, for at least six month. Associate membership shall not exceed 10% of the existing Active membership.

Social-Social membership may consist of spouse; partner (1); sons or daughters of active or associate members. Social members of associate members may not hold office or vote.

$20 for annual membership

Additional information you might want to add