Seraphic Sirens' Application

Join the Seraphic Sirens... Beautiful Bold Women on the Move...  

Courage is the most important of all virtues, because without it we can't practice any other virtue with consistency     --Maya Angelou

Please download this membership application, complete it and email or mail the information to S²MC.

 

APPLICANT INFORMATION

  • Last Name_________________________________
  • First Name_________________________________
  • Middle Initial_______________________________
  • Email Address______________________________
  • Street Address_____________________________
  • City_______________________________________
  • State______________________________________
  • Zip Code__________________________________
  • Home Phone_______________________________
  • Cell Phone_________________________________
  • Work Phone________________________________

MOTORCYCLE INFORMATION

  • Do you currently have a motorcycle license?
  •  Yes___ No___  
  • If no, when will you register for class? Date_______________ 
  • Do you currently own a motorcycle? 
  • Yes___ No___
  • Make_________________________________________________
  • Model________________________________________________
  • Year__________________________________________________

 EMERGENCY CONTACT INFORMATION

  • Name_______________________________________
  • Relationship__________________________________
  • Street Address________________________________
  • City_________________________________________
  • State________________________________________
  • Zip__________________________________________
  • Home Phone__________________________________
  • Cell Phone____________________________________
  • Work Phone___________________________________
  •  
  • The above information is true to the best of my knowledge. I fully understand and accept that membership may be denied or suspended at any time should any of the information I have given above prove to be false, or should I violate any of the By-laws of S²MC.

     

     

    DISCLAIMER

     

    If applying for "Full Membership" I further attest that I have read and fully understand the following disclaimer: If approved for membership I will be a prospect, during which time I will be observed and advised on principles and rules of S²MC. After successful completion of the probationary period, I will be voted in as a full member by a majority vote at a membership meeting. If at any time my sponsor or any officer feels that I am not in compliance with the principles and rules of the club, I must receive a majority vote at a membership meeting in order to remain a member of the club.

     

    Signature_________________________________

    Date_________________________ 

 

 S²MCHomepage