----- Member Information -----

Address (*):

City (*): State (*): Zip Code (*):

Email Address (*):

Home Phone (*):

----- Rider Experience -----

Have you ever ridden in group formation before? (*)

Have you ever served as a ride leader for a group before?

Have you ever attended a rider safety class? (*)

Number of years riding experience: (*)

----- Club Affiliations -----

Are you a member of the Honda Riders Club of America? Yes No

If yes, please provide your HRCA membership number:

Are you now or have ever been a member of a motorcycle club? Yes No

If yes, what club?

----- Riding Preferences -----

How many days do you ride each month? 1 - 5 6 - 10 10 - 20 20 or more

How far do you consider a comfortable ride to be? Less than 100 miles 100 - 200 Miles 200 - 300 Miles More than 300 Miles

----- Motorcycle Information -----

What do you ride? Size: Less than 800cc 800cc - 1100cc 1100cc - 1500cc Larger than 1500cc

Where did you purchase your Motorcycle?

----- Tell Us What You Think -----

A. Why do you want to join Bayside Riders Club?
B. Where did you hear about us?
C. What things are important to you in a club?