Please return completed application to:
 

American Legion Riders
Port Saint Lucie
Florida Chapter 318
Application for Membership

 

Date of Application ______________________       Annual Membership dues: $20.00

Name ______________________________  Rider Name __________________________

Street ____________________________________________

City ______________________________  State ______________  Zip _______________

Phone ____________________________  Email _________________________________

 Member of _____  American Legion Post 318

                   _____  American Legion Auxiliary Post 318

                   _____  Sons of The American Legion Post 318

 
Sponsored by ___________________________________

Emergency Contact ______________________________ Phone ____________________

Alternate Contact ________________________________ Phone ____________________

I have received a copy of American Legion Riders Chapter 318 Constitution and By-Laws, and agree to abide by and be governed by the guidelines set forth in these documents.  I have also read and signed the accompanying Waiver and Release from Liability form as required by Department of Florida.


_____________________________         ____________________________         _____________
Printed Name                                             Signature                                                  Date


_____________________________         ____________________________
Witnessed By (Sponsor)                           Signature