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Las Vegas Membership
$
0.00
Last Name
*
First Name
*
Spouse (or significant other)
Phone#
*
Address
*
Street Address
City
State
ZIP
Email
*
Date of Birth
*
Month
Day
Year
Bike Brand
Riding#
Class
*
Select
+Thirty (+$30)
+Forty(+$30)
+Fifty(+$30)
+Sixty(+$30)
+Seventy(+$30)
+Eighty (Free, please fill out form)
+Ninety (Free, please fill out form)
“Proof of age may be required. To participate in the +30/40+ age classes you MUST BE at least 30/40 years old by the date of the event you wish to ride. NO EXCEPTIONS! All other age classes, your birthday must fall within the calendar year of the age class you wish to participate in. *+30 Classes Membership is NOT required in an Oldtimer club. You are welcome to join your local club if you choose.”
Experience
*
Select
Master - A
Expert - C
Intermediate - B
Novice - D
Experience
*
Select
Master
Expert
Intermediate
Novice
30+A (Expert/Pro)
30+B (Intermediate)
30+C (Novice/beginner)
Hidden
would you like to add a child or grandchild to your membership?
*
Yes
No
Hidden
Name
*
Hidden
Birthday
*
Hidden
List
*
Name *
Birthday *
Legal Release
*
I, the undersigned, fully understand that at no time will I make a legal or financial claim against, nor will hold responsible, any member of The Oldtimer’s Motorcycle Association, LLC, for any damages to my motorcycle, equipment, or my body, including death. I am, and will be accountable for my own actions. I have read and fully understand the above legal release.
Phone
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Description
Description
Membership for our organization
Category:
Membership
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