APPLICATION FORM
Please fill in the information below and return the application to your Red Knights VT #1 sponsoring member.  The application will be reviewed and processed by our membership.  You will be notified of the results in a timely manner.

Full Name:_______________________________________________

Address:_________________________________________________

Daytime Phone:________________Evening Phone:_______________

Birth Date:________/_______/______Age:____________

Email Address:____________________________________________

Current Fire Department Affiliation:___________________________

Total Years of Service:_____________

Current F.D. Supervisor or Chief:_____________________________

VT #1 Sponsor:___________________________________________

Please answer the following questions,  It will help our members to
get to know you better:

    1)  Do you currently ride motorcycles?   Yes/No

    2)  Do you have your own bike?             Yes/No

    3)  What's your level of riding experience:

          Iron Butt           Weekender
          Live-To-Ride      Average
          Beginner

Have you ever been convicted of a Felony?   Yes/No

Do you object to being investigated?            Yes/No

Membership Dues: (Please remit with application)

I, the undersigned, do hereby apply for membership to the Red Knights Motorcycle Club, Vermont Chapter #1.  I agree that I must abide by the Constitution and By-Laws of the Club.



Signature of Applicant:



________________________________________________________
Membership Dues:

Active Fire Dept Member - $20.00
Associate (Non-F.D. Affiliated) - $20.00
Social - $20.00