AZBeemers P.O.Box 2887 Chandler, AZ85244-2887
WWW.azbeemers.org
Last Name First Name
Significant Other Name
Address
City State Zip
Home Phone
Forum Display Name/Handle
E-Mail
Primary Motorcycle Ridden
How did you lean about AZ Beemers
Other Club Affiliation
Date
I understand that AZ Beemers cannot assume responsibility for any aspect of my safety and that if I participate in any AZ Beemers event, I do so voluntarily on my own judgment and assessment of my ability, road/site conditions, and all facilities and conditions, assuming all risk; and I release and hold the AZ Beemers organization, its Officers and Directors, its members, and any persons or organizations connected with any AZ Beemers event harmless for any injury or loss to my person or property that may result there from. I understand that this means that I agree not to sue AZ Beemers, its Officers or Directors, its members, or any persons or organizations connected with any AZ Beemers event for any injury to me or to my property at any AZ Beemers event, and I will reimburse AZ Beemers, its Officers, and Directors, its members and any persons or organizations connected with any AZ Beemers event for all losses or costs it suffers as a result of my participation.
1Year Membership 0 18.00
3 Year Membership 0 36.00
Associate Member 0 9.00 18.00 1Yr=$9.00 & 3Yr=$18.00
Total
Please print and send with your payment to the address listed above
