SCMA Membership Application

New Member * $20.00 Renewal * $20.00 SCMA # (*) Includes link to monthly SCMA Newsletter in color New Membership or Renewal - With A Black & White Newsletter Mailed $30.00 Address Change /Old ZIP Code _____ Club Member, Club Name____________________


In making application for membership, I hereby agree to comply with the rules governing the Southern California Motorcycling Association and while holding membership, do my best to promote and protect the image of family motorcycling and sportsmanship.
________________________ Signature of Applicant	Date

You may print out this page and mail in with a check (address at bottom)
Name
Address
City
State
Zip Code
Phone
Age	Male Female
Email

USA FOUR CORNERS TOUR
11171 Oakwood Dr. E209
Loma Linda, CA 92354-4813

Your SCMA membership number will be emailed or mailed after your check is received.