American Legion Riders Motorcycle Association Chapter 140 Greenville, Ohio Membership Application Please Print Name:_____________________________________________________________________________________ Address:____________________________________________________________________________________ City,State and Zip:___________________________________________________________________________ Phone: (________) _____________________________________  Birth Date:__________________________ E-MAIL Address:__________________________________Post Number Where You Belong:_____________ Post Address:_______________________________City:__________________State:_____Zip:____________ American Legion Membership Number:___________________________AL______Aux______S.A.L.______ Type Of Motorcycle:____________________________Year_________Model_______________CC_________ This Is A Release, Please Read Before Signing I agree that the American Legion and/or the American Legion Riders Motorcycle Association shell not be liable or responsible for any damage to property or any injury to persons including myself during any American Legion or American Legion Riders activities, even where the damage or injury is caused by negligence. I understand that and agree that all American Legion and American Legion Rider members and their guest's participate voluntarily and at their own riskin all activities of the American Legion and/or the American Legion Riders. I release and hold the American Legion, the American Legion Officers and/or the American Legion Riders and/or the American Legion Riders Officers harmless for any injury, damage or loss to my person, guest, or property, which may result there from. I understand that this means that I agree not to sue the American Legion, American Legion Officers and/or the American Legion Riders, American Legion Riders Officers for any injury and/or loss to property in connection with any American Legion and/or American Legion Riders activities. I further agree that I am responsible to provide adequate insurance on my motorcycle and/or any other vehicle I use, operate or am responsible for while participating in an activity of the American Legion and/or American Legion Riders to cover liability in case of accident or injury and/or damage to my property. Signature:___________________________________________________Date:__________________________ ALR Officer:_________________________________________________Date:__________________________ Full Membership___________ Associate Membership___________Honorary Event Membership_________ American Legion Member________. Auxiliary Member________. S.A.L. Member_______. Other_______. American Legion Riders Membership Number Assigned: 140-                                     . Send compleated application along with check or money order for $15.00 Per Membership made out to the AMERICAN LEGION RIDERS Send To American Legion Riders Chapter 140 c/o American Legion Post 140 325 North Ohio Street Greenville, Ohio 45331