NORCAL VOYAGERS CLUB MEMBERSHIP APPLICATION Date: _______/_______/________ NEW ______ RENEWAL _______ MEMBER NUMBER ________ FIRST MEMBER NAME ________________________,________________________, ______ BIRTHDAY ____/____/____ ANNIVERSARY ____/____/____ SECOND MEMBER NAME _______________________,________________________, ______ BIRTHDAY ____/____/____ ANNIVERSARY ____/____/____ Mailing Address ____________________________________________________________ City: _______________________ State _________ Zip Code _____________________ Telephone: HOME (___)____________ WORK (___)___________ FAX (___)___________ E-mail Address: __________________________, ________________________________ Motorcycle MAKE: __________________________ MODEL___________________________ YEAR______ ENGINE SIZE: _________________________________________ CLUBS: _______________________________________________ (AVA) (AMA) (GWTA) (ETC) If you want to JOIN, Mail One Years Dues ($10.00 for One member or $15.00 for two members), along with this application to: Wayne Bright 2149 Gibson Avenue Clovis, Ca. 93611-0698 Make check payable to NorCal Voyagers. YOU DON'T have to OWN a VOYAGER to become a MEMBER. (To be filled in by officers only) APPROVED BY MEMBERSHIP? (YES) (NO) Date: ______________________ Dues accepted by Treasures? (YES) (NO) Date: ______________________ Member Number: ______________________