First Name: ___________________Last Name:_________________ Age: _____ Size T-shirt______
Marital Status ____________ Birth date ________________
Address:
______________________________________________________________
City: ______________________________________________
State: _____ Zip:
________________
Home Phone: ______________________________________
Cell Phone:
____________________________________
Email: ____________________________________
Work Phone:
____________________________________
Personal Watercraft Information
Year/Make/Model:
________________________________________________________
Year/Make/Model:
________________________________________________________
How long have you been riding
personal watercraft? _____________________________
Where do you usually ride? _____________________________________________________________
What type of activities do you like? _______________________________________________________
Additional Information
Why do you wish to become a member of the Eastern PA River Runners?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
How did you hear about our club?
_______________________________________________________________
How long have you been an AWA
member? ________________________
website:
www.easternpariverrunners.com email:
riverrunners@dejazzd.com
Phone: 610-404-4252 / 610-564-4819 Fax: 610-404-4252
HOW
TO JOIN!
There are no membership fees
to join our club, although membership with the AWA is required to participate in
all AWA sponsored rides. This is due to insurance regulations.
Please click on the
following link
www.awahq.org/p/joinNow.php
for more information on joining AWA.
Just 4 easy steps to become an Eastern PA River Runners member!
1) Please notify us via email or phone that you are interested in becoming a member, then send us your application as well as the signed code of ethics form and the member profile page.
2) Mail your check payable to AWA in the amount of $24.00 along with any additional information required if you plan on participating in AWA sponsored rides.
3)
Once you receive your AWA membership #, please supply us with that information
so we can add it to your application.
4) In filling out the membership form, a complete membership form including
the Code Of Ethics page is required for each individual.
If you currently are an AWA member, just fill in your AWA
membership # and send it in! Please feel free to contact
us for more information.
AWA Membership #:
_____________________________ Expiration: ________________
Send your application to:
Eastern PA River Runners (EPRR)
544 Pintail Lane
Birdsboro, PA 19508
Please note: This application will be reviewed for membership and an officer of the club will be in touch with you shortly. Thank you!
In signing this form, I verify all information given is complete and accurate to the best of my knowledge:
Signature______________________________________
Date: ______________________________