Membership Application

Name: _____________________________________________ Date:________________ Address:_______________________________________ Phone: (___) ______________ City:___________________________________________ State: ____ Zip:___________
E-Mail:___________________________________________

Fire Department Affiliation:____________________________________
Chief of Department:______________________
Address:_______________________________________
Phone: (___) _____________
City:___________________________________________ State: ____ Zip:___________
Career or Volunteer? ____________________________

Type of Membership (circle only one):
Active - Firefighter in good standing (career or volunteer).
Social -The spouse; boyfriend (1); or girlfriend (1); Sons or Daughters of an Active or Associate Red Knight.
Associate - Friend of an active Firefighter who is a Red Knight.
Retired - A retired (career or volunteer) Firefighter. (Also considered an “Active” member)
Honorary - A member of a recognized religion for the position of Chapter Chaplain. A civic or business leader who does volunteer work for the Chapter. A widow or widower of an Active or Associate member.

New________ Renewal______

I, the undersigned, do hereby apply for membership/renewal to the Red Knights Motorcycle Club, New York Chapter 29. I agree that I must abide by the Constitution and By-Laws of the Club.

I have furnished a copy of my valid motorcycle license and proof of my affiliation with the fire service as required by the Constitution and By-Laws of the Club.

Signature of Applicant:____________________________ Date:________

Payment Application fee must accompany your application form. Our annual membership dues are
$20 for Active/Associate/Retired
$15 for Social/Honorary

Payment By:
Check # __________
Cash (please do not send cash in the mail)

This section to be completed by the membership committee:
Approved: _____ Rejected: _____
Signature:_________________________________
Date:_________________

Send completed application to:
Paul Pratt
P.O. Box 206
Chatham, NY 12037

download RKMC NY29Memebership Application