AHRMA
Membership
Application

Name _________________________________________________ AMA# ______________________________
Address ___________________________________________________________________________________
City _________________________ State/Province ________ Postal/ZIP Code ________ Country __________
Phone: Evening _________________________________ Daytime ____________________________________
Occupation _____________________________________ Email ______________________________________
Motorcycles owned: _________________________________________________________________________
Date of birth: _____________________________ (21 or younger must driver’s license, birth certificate or school id with DOB)

_____ New members or reactivating $45 (US mailing address) $50 (Canada or Mexico) $55 (Overseas)
_____ Renewing competition member $45

Competition Preferences (check all that apply)
        Race number preference choices:   #1: ____________   #2: ____________   #3: ____________
NOTE: A permanent number will be on your membership card when issued. A number assigned at the track it will not be permanent.
____ Roadrace:      RACING TYPE: ____Vintage Road Racing ____Sound of Singles ____Battle of Twins
Note: Before AHRMA issues a racing number, Proof MUST be provided that shows within the past 2 years you have competed with another road racing organization or successfully completed a roadracing school (proof = copy of racing license or school certificate). A temporary membership will be issued until proof is received in membership office.
____ Motocross:     TYPE: _____Vintage _____Post-Vintage      SKILL: ____Intermediate ____Expert
Note: A Novice category is available. However, new AHRMA MX members must sign up as at least an Intermediate until skill-level status is confirmed, optimally at your first event. At that time, you may be reclassified as a Novice if deemed appropriate.
____ Cross Country     SKILL: ___Intermediate ___Expert
Note: MX number used. See note above regarding Novice skill level.
____ Dirt Track
____ Trials      SKILL: ___Beginner ___Novice ___Intermediate ___Expert

_____ New members or reactivating $30 (US) $35 (Canada or Mexico) $40 (Overseas)
_____ Renewing non-competition member $30
_____ Delivery of "Vintage Views" via: (mark if applicable - note non US members extra postage is required)
_____ Upgrade to First-class mail:
          _____ US add $10     ___ Canada or Mexico add $10     ___ all other Countries add $20

Signature Must be signed for application to be valid and processed.
By applying for or renewing and accepting membership in AHRMA, I agree to abide by all rules of the AHRMA Handbook, as well as any event or track rules that may apply.

Signature ___________________________________________________ Date _____________________