Membership Application
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WRRA welcomes all individuals to join, no matter what – or if – you ride! Membership is our sole source of revenue and of direction.
Please choose one of the following categories.
[ ] Individual – $20/year
[ ] Family – $30/year (Two voting members.)
[ ]Sustaining – $50/year.
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Name
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Mailing Address
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City, State, ZIP
____________________________________________________
Phone
____________________________________________________
E-Mail Address
If paying by credit card:
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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