Membership Application
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WRRA welcomes the support of businesses both in and out of the motorcycle industry.
[ ] Business – $100/year.
[ ] Please contact me about appearing on your Sponsors page. (Be sure to include your email address.)
____________________________________________________
Name
____________________________________________________
Mailing Address
____________________________________________________
City, State, ZIP
____________________________________________________
Phone
____________________________________________________
E-Mail Address
If paying by credit card:
____________________________________________________
Credit Card Type/Expiration Date
____________________________________________________
Credit Card Number
____________________________________________________
Signature
Authorization is granted by my signature to charge/deduct the above amount from the listed credit card account.
Mail this form and your payment to:
Washington Road Riders Association
PO Box 2318
Auburn WA 98071