ABATE of New York Inc. - Membership Application

State Office 888-344-4400

For your (and our) convenience, this application may be filled in online, then printed, as it requires your signature.

Send it (or bring to an ABATE meeting/event) along with a check or money order in the appropriate amount payable to:

ABATE of New York PO Box 167 Walker Valley NY 12588	New Member or Renewal New Member Renewal
	Membership #:      Current Expiration:

Full Member $25 per year – Includes membership packet, newsletter, and all benefits in accordance with State By-Laws

Associate Member $20 per year – Same benefits as a Full Member except no newsletter.

This membership is available only to additional members of a Full Members household.

 Member at Large $25 per year - Includes membership packet, newsletter, and all benefits in accordance with State By-Laws (a member without a chapter)

Name:

Date of Birth:

Address:

Chapter Selected: Onondaga Member At Large

Newsletter emailed? Yes No

City:

State:

Zip:

E-mail:

Phone: ( )

Fax: ( )

Visa or MasterCard Accepted: Card Number 

Expiration Date (Month-Year) :

Method of Payment : Check Money Order Master Card Visa

I agree to comply with ABATE of New York's By-Laws, and to promote motorcycle education,

legislation, and activities in accordance with ABATE of New York, Inc.

Applicant Signature:

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Date: