PACESETTERS MOTORCYCLE CLUB® MEMBERSHIP APPLICATION
Name:
LAST
FIRST
MIDDLE
Address:
Number
Street
City
State
Zip  
Phone Number:
Area Code Please
Date Of Birth:
Name of Employer:
Address:
City,State & Zip:
Phone Number:
Referred By:
PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
Name:
Relationship:
Address:
City, State & Zip:
Phone Number:
This club is an equal opportunity organization: We adhere to a policy of making decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability.  We assure you that your opportunity for membership with this organization depends solely on your qualifications.

Thank you for completing this application and for your interest in the Pacesetters Motorcycle Club®.

Date:
Years of Experience Riding Motorcycles:
Type Of Bike You Ride:
Email Address:
Position
Have you ever been a member of any other clubs. (If Yes how long & Name of Club)
All Applicants are subject to background checks.
Hobbies:
Bike Riding Name You Go By or Like To Go By:
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*Note: For anyone interested in becoming a member of  Pacesetters Motorcycle Club in another state, city or international contact Mother Chapter Prez.  Slick 251-689-9291 or   contact-us@pacesettersmc.com
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