Red Knights PA Chapter 15

Application

Red Knights Motorcycle Club

PA CHAPTER 15

PO Box 60724

Harrisburg, PA 17106-0724

Application For Membership

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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 __________

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Instructions,
Fill out and print this application 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
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