The Ashby Animals Dirt Bike Club

Remember No matter when you signup the membership is only good until the end of the year. Membership fees are due by the annual season-opener meeting Every April.

New Individual Membership Signup

Please Fill out and submit this From first, Then go down and send payment with Your Name you used to signup. Thank you.

Individua Member Name *

First

Last

Email *

Phone Number *

Is This Phone # Your Cell Phone?

• Yes
• No

NETRA # ~If You Have One~

Bike #: ~If You Have One~

Gender

• Male
• Female
• Other

Date of Birth *

In the format of: ##/##/####

Mailing Address *

Will you be picking up your new membership package at the next meeting? or would you like it mailed to you? * Note it is $5 to have membership package mailed to you. Please select accordingly when you go to pay *

• I Will Pick It Up at The Next Meeting
• Mail it To Me

* If you selected Family Membership Please add the Family Member's Info in the same format as above for every extra family member in this box *

Name / e-mail / phone# / is it a cell phone#? / Bike #: ~If You Have One~ / NETRA # ~If You Have One~ / Gender / Date of Birth / Mailing Address | For every family member

Submit

^^^^^ Remember to press submit before going down and paying. Thank you

* By Clicking Submit, it declares you agree to follow and abide by the Ashby Animals Rules outlined in the Ashby Animals  BYLAWS. Which can be viewed and printed and printed below or on the CLUB DOCUMENTS page *