BACK          MERIDIAN MOTORCYCLE ASSOCIATION

                                2009 MEMBERSHIP RENEWAL FORM

   Complete this form and mail it in with your membership fees. Your 2009 membership
                  will be renewed and you will receive your new 2009 membership card.

DATE:__________________________

NAME: First:___________________ MI___________ Last:_________________________

ADDRESS: _______________________________________________________________

CITY: ________________________ STATE:______________ ZIP:____________
PHONE NUMBER: (        )_______________   CELL NUMBER: (        )________________
EMAIL ADDRESS: ________________________________________________________

TYPE OF MEMBERSHIP:   ____INDIVIDUAL         ____FAMILY

IF FAMILY MEMBERSHIP LIST THE NAMES OF ALL FAMILY MEMBERS WHO WILL REQUIRE MEMBERS CARDS. (Remember only spouses, children, or stepchildren under the age of 21 are eligible.)
1. ________________________________ 2. ________________________________
3. ________________________________ 4. ________________________________
5. ________________________________ 6. ________________________________

LIST ALL OF THE OFF-ROAD MOTORCYCLES / ATV's YOU WILL BE RIDING ON THE TRAILS
1. ________________________________ 2. ________________________________
3. ________________________________ 4. ________________________________
5. ________________________________ 6. ________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

INDIVIDUAL MEMBERSHIP: $30.00 PER YEAR
FAMILY MEMBERSHIP: $40.00 PER YEAR
MMA CALENDAR YEAR IS JANUARY 1st THROUGH DECEMBER 31st
MAKE CHECKS PAYABLE TO: MERIDIAN MOTORCYCLE ASSOCIATION
SEND MEMBERSHIP FEE AND APPLICATION TO:
LUCAS HATCHER
8207 RESERVOIR ROAD
COLLINSVILLE, MS 39325

 

ANY QUESTIONS REGARDING MMA MEMBERSHIP PLEASE CALL:
JERRY CORLEY - MMA President @ 601-527-0157 or email: jerrycorley@meridianohvpark.com
LUCAS HATCHER - MMA Vice President @ 601-938-7126 or email: lucas@meridianohvpark.com