Red Knights® PA Chapter 8

Personal Information:

Name:*

Email:*

Address:*

City:*

State:*

Zip Code:*

Phone Number:*

Birth Date:*

Driver License #

Motorcylce Information:

Make:

Model:

License Plate Number:

Firehouse Information:

Station Affiliation:

Station Number:

Address:

City:

State:

Zip Code:

Station Website:

Reference - Officer Name:

Officer Phone Number:

How did you hear about us?

Membership Costs:

Firefighter/Social $30

Vest Patches, Complete Set $45 (optional)

I, the undersigned, do herby apply for membership in the Red Knights® International Firefighters Motorcycle Club, Inc. Pennsylvania Chapter 8. I agree to abide by the Constitution, By-Laws, SOG's and all Rules and Regulations that govern the membership. *

Should I leave the chapter, I acknowlege that I WILL NOTwear or sell any Red Knights® items to any Non-Red Knights member. This is a Binding Legal Agreement insuring others cannot misrepresent the Club usning patches, shirts, etc...*

Applicants Signature*

Date:*