American Legion Riders
                                   Motorcycle Association
                                          Iowa Chapter
                                   State Charter Post #731
Membership Application
Name:__________________________________Nickname________________________
Address:________________________________________________________________
City, State and Zip:_______________________________________________________
Home Ph#(___)__________________________Cell Ph#(___)__________________
E-Mail:_________________________________Birth Date:______________________
Type of Motorcycle (Must be street legal)___________________________________
Size (Must be 350cc or larger)_______Insurance Company_____________________
American Legion Membership Number:_________________Post #______________
Annual Membership Fee $20.00/Year if not a member of Post 731.


THIS IS A RELEASE, READ BEFORE SIGNING.

I agree that the American Legion and the American legion Riders Motorcycle Association shall not be liable or responsible for damage to property or any injury to persons including myself during any American Legion or American Legion Riders activities, even where the damage or injury is caused by negligence.  I understand that and agree that all American Legion Rider members and their guest participate voluntarily and at their own risk in all activities of the American Legion and American Legion Riders.  I release and hold the American Legion Riders, the American Legion Officers or  the American Legion harmless for any injury or loss to my person or property, which may result there from.  I understand that this means that I agree not to sue the American Legion Riders, the American Legion Rider Officers or The American Legion or American Legion Rider activities.  I further agree that I am responsible to provide adequate insurance on my motorcycle or any other vehicle I use, operate or am responsible for while participating in an activity of the American Legion or American Legion Riders to cover liability in case of accident or injury.   The above agreements and representations are and freely without coercion or duress.  This agreement may not be modified orally and may not be waived in any respect.

Signature___________________________________________Date______________________
Witness Signature____________________________________Date________________
Witness Address  ________________________________________________________

Print this Application and send along with a copy of your insurance card to: Scott Thomsen, Membership Chair
9249 Dubuque Street
Norwalk, Iowa  50211

legionrideria@msn.com
Make Checks payable to:  American Legion Riders Post 731

Meetings are 3rd Thrusday at of each month at 7:00 p.m  at
Des Moines Post 731
1511 South Union Street
Des Moines, Iowa  50315
(515) 280-1836