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Sage Riders Membership Form

Contact Information:

Name:

Other Family Members:

Address:

City: State: Zip:

Email:

Phone: Do you receive Text messages: Yes No

Do you race? Yes No UMORA # AMA #

Club Dues:

Single membership $20 (includes 1 club shirt) shirt size

Family membership $40(includes 2 club shirts) shirt sizes

Additional Shirts are $10 shirt sizes

What skills, talents, hobbies etc would you be willing to contribute to the Sage Riders to help
make us more successful?

On what level of involvement can you participate?

Work projects: work races: other:

Sage Riders website: www.sageridersmc.com

2286 Shelby Cir email:sageridersmc1980@gmail.com


Helper, Utah 84526

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