Mixed Nutz Riding Club
Membership Application
If you are interested in joining the Mixed Nutz Riding Club, feel free to print the application.
Once you have filled it out, along with a signature and date, mail it the address below. We will review your application and get back to you. Once you have
been accepted, you will then be put on the mailing list and be allowed to join in rides and general meetings.
| Email this application to: |
| Mixed Nutz Riding Club |
| mixednutz_rc@yahoo.com |
| Name: |
| Address: |
| City, State, Zip: |
| Home Phone: |
Alternate Phone: |
| Motorcycle Make and Model: |
Abate Number: |
| E-Mail Address: |
Applicant affirms he/she will comply with all Illinois laws that are applicable. Applicant also affirms that he/she will comply
with all club riding instructions. The applicant also agrees that he/she is aware of the risks of danger to themselves, passengers, and personal
property while attending any club events. I assume all the risk that is involved with riding. I will in no way be able to hold the Mixed Nutz,
Officers, and/or members liable for any injuries,damages or loss of property that may happen while I am riding with them. I accept the responsibility
of my own actions. By signing this document, I agree with the above statements.