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US Full Membership Application
Membership is a "Lifetime Membership/Revocable (for cause)"
All information below is required. Please submit the completed form. Clubs dues $50 U.S. Upon approval, you will be contacted regarding dues payment.
Additional costs are The Maltese Path ($29.00 US). NOTE Colors must be returned to the club and your money will be refunded if you bring a negative light on the Club and are removed from the Club.
Dues payment includes:
1 Membership Patch
1 9-11/343 Remembrance Patch (4.3" x 2.6")
1 Pewter Membership Pin (1.9" x 1.3")/
1 Color Decal (2.9" x 1.9" rectangle with W&F Bike logo)
First Name
*
Last Name
*
Address Line 1
*
Address Line 2
City
*
State
*
Zip Code
*
Email Address
*
Mobile Phone Number
*
Fire Department Name
*
Harley Davidson Year/Model
*
Upload a picture of yourself
*
Click to choose a file or drag here
Size limit: 10 MB
Upload a picture of your Harley
*
Click to choose a file or drag here
Size limit: 10 MB
Upload proof of Fire Service
*
Click to choose a file or drag here
Size limit: 10 MB
Submitting this application will begin the approval process. Payment of dues will be requested up approval of your application.
Submit
