Please fill this form out on-line, then you can print it
out, sign it and send to the address at top or bring it with you to a meeting.
A.B.A.T.E. of New York Inc.
Niagara County Chapter PO Box 25
Lockport, NY 14094
Full Annual Membership - $25: Membership card, patch, annual
pin, State & County newsletters.
Associate
Annual Membership - $20: All of the above, except newsletters. Available only to additional members of a Full Member's household.
New Member
Renewal Membership #: Expiration Date:
Name:
Address:
City:
E-mail:
Date of Birth:
Residence County:
State: Zip:
Phone: () FAX: ()
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:
Are you a registered voter? Yes
No
Referred by Member: #:
Additional
Donation for Legislative Purposes? $ TOTAL: $
*This form was printed out from http://www.abate-niagara.org*
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