Membership - Charlotte CBA

Application Type*

New Application
Renewal

Membership or Renewal Type*

Individual
Couple

Individual Information

Name*

First Last

Age*

Under 16
16-29
30-50
Over 50

Phone*

Email*

Registered Voter*

Yes
No

Other Motorcycle Affiliations*

Individual #2

Name*

First Last

Age*

Under 16
16-29
30-50
Over 50

Phone*

Email*

Age*

Under 16
16-29
30-50
Over 50

Other Motorcycle Affiliations*

General Information

Address*

Street Address Address Line 2 City State ZIP Code

Membership Involvement*

Your Membership in the CBA is important and valued. How would you like to share your involvement, knowledge, love of riding and protecting motorcyclists rights?

Volunteer for events (road guards, food, raffle prizes, sell products, ride stops)
Attend meetings
Legislative committee
Speak to other bike groups
Sponsor recruitment
Events comittee

How would youy like to recieve your copy of the Local and State newsletter?*

Electronic
US Postal Service

Individual Dues*

1 Year ($10.00)
3 Year ($30.00)
5 Year ($50.00)
Junior (Under the age of 16, Free)
Young Adult (16-29, First Year Free)

Couple Dues*

1 Year ($20.00)
3 Year ($60.00)
5 Year ($100.00)

Total

$0.00

CBA Membership

Join the CBA or Renew Your Membership

Membership Form

Individual Information

Individual #2

General Information