The Georgia Sidecar Club

Sidecarists and Solo Bikers Welcome

Membership Application

Leave lines blank if it is info that you do not want to provide.

Name: ___________________________________________________________________ Birth Date:____________

Address: _______________________________________________________________________________________

City: _______________________________________________________________ State: ______________________

Zip Code: ____________ Email: __________________________________________________________________

Home Phone: ______________________ Work: ________________________ Cell: __________________________

Significant Other: _________________________________________________________ Birth Date: _____________

Children (at home): ________________________________________________________ Birth Date _____________

Children (at home): ________________________________________________________ Birth Date _____________

Children (at home): ________________________________________________________ Birth Date _____________

Motorcycle(s) year/make/model ----------- Sidecar(s) year/make/model


________________________________________________ / ____________________________________________

________________________________________________ / ____________________________________________

________________________________________________ / ____________________________________________

Average miles @ year ridden: Sidecar_____________________________ Solo__________________________________

Where do you like to ride? ___________________________________________________________________________

Ride Dates Preferred : Saturday? ____ Sunday? ____ Weekday? _______ Overnight? ______

Send check or money order in the amount of $18.00 to:

The Georgia Sidecar Club c/o Carl Shantz

PO Box 5574 Canton, GA 30114 Phone 770-851-8794

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