ABATE of Monroe: Membership Application

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ABATE of New York Inc.
Monroe County Chapter
Email (585) 234-0895

ABATE of New York Inc. - Membership Application For your (and our) convenience, this application may be filled in online, then printed, as it requires your signature. Send it (or bring to an ABATE meeting/event) along with a check or money order in the appropriate amount payable to:

ABATE of New York Inc.
Monroe County Chapter
PO Box 13277
Rochester, NY 14613

Membership #: Current Expiration:

Full Membership: Membership card, patch, annual pin, State & County newsletters, and all benefits in accordance with By-Laws
Associate Membership (available only to additional members of a Full Member's household): All of the above, except newsletters

Name:

Date of Birth:

Address:

County:

City:

State:

Zip:

E-mail:

Phone: ( )

Fax: ( )

Occupation:

Club Affiliations:

Additional Donation for Legislative Purposes? $

TOTAL: $

I agree to comply with ABATE of New York's By-Laws, and to promote motorcycle education, legislation, and activities in accordance with ABATE of New York, Inc.

Applicant Signature:

Date:

Referred by Member: #:

(Please Print & Sign)

ABATE of New York Inc. is a motorcycle rights organization dedicated to preserving your rights and freedom of the road, with education and safety as priority one. Our members are involved, both actively and in supportive roles, in programs promoting public awareness, motorcycle safety, and the legislative system.

Whether you ride or just support the right to ride free, ABATE of New York invites you; regardless of your age, sex, race, religion, or mode of transportation, to join us.

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