The
http://www.CaliforniaRangeRiders.com
Rider # 1
______________________________________ Date of Birth
____________ CMSA # __________
Alias: _____________________________________________________________ SASS # ______________
Rider # 2
______________________________________ Date of Birth
____________ CMSA # __________
Alias:
_____________________________________________________________ SASS #
______________
Rider # 3
______________________________________ Date of Birth
____________ CMSA # __________
Alias:
_____________________________________________________________ SASS # ______________
(If under 18)
Parent or
Guardians signature:
______________________________________________________________
Address:
_________________________________________________________________________________
Phone #
_________________ cell
# _________________email: ____________________________________
Other club
affiliations:
_____________________________________________________________________
CRR main member
fee: __________________ @ $50.00 ________________________________________
CRR family
membership (up to 4): ________________ @ $80.00 ________________________________
There is a
discount to renew CMSA through
our club (Jan 1st-Feb 15th) _ After Feb 15th,
add $10 more for CMSA family or individual membership.
Will you be
renewing CMSA today? Indiv
$35.00 __________ Family
$65.00 ______________________
Brand new CMSA members: Individual $60.00 _________________ Family $90.00 __________________
through our club (Jan 1st-Feb 15th)
Will you be
joining SASS today? Indiv $45.00 ________________________________________________
Paid by: Cash $ _________________ Check: ________________ Check
# ________________________
Total:
___________________________________________________________________________________
Make check payable to CRR and mail to: Judy Stewart