bw_sfwda
 

Individual Membership Application

Please complete the form below and submit electronically with your payment via Paypal (treasurer@sfwda.org) or print out the downloadable application at the bottom of the page and include a check mailed to SFWDA Membership Director’s address below.

 

Name:  _____________________________________________________

Other Name (Spouse):  ________________________________________

Address:  ___________________________________________________

City: ______________________________  State: ____  Zip Code: _____

Home Telephone:  (____) _____-______        Cell:  (____) _____-______  

Email Address:  ___________________________@_________________

 

Club Affiliation (not required) ____________________________________________________________

Make of Vehicle: ______________________  Year: _________________

Ride Levels:  (Easy, Moderate, Advanced) ____________________________________________________________

 

I hereby apply for Individual Membership for 2014 and am enclosing my annual membership fee of $25.

Signed: _____________________________  Date: __________________


Please process payment to SFWDA with PayPal at treasurer@sfwda.org

Email completed application and your payment details to Doyle Punches, SFWDA Treasurer,

Doyle.Punches@sfwda.org or treasurer@sfwda.org

06.2014 Rev 2