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Membership/Renewal Form
Detailed information about our riders will not be given to any outside entities.
Name:____________________________________________________________
Phone (H): _____________________ Phone
(W): _______________________
Mailing Address:
____________________________________________________
City:______________________________________________________________
State:__________________________ Zip:_______________________________
What brand/model/year bike do you ride? ________________________________
Suspension: front back seat none
E-mail address: ____________________________________________________
How would you like to support
the A.M.B.C. other than as a member?
__________________________________
Signature: _________________________________________________________
Date: _____________________________
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