| Please print clearly, fill in all required information |
| First Name ____________________ Last Name________________________________________ |
| Address______________________________ City___________________ State/Zip___________ |
| Phone Number_________________________ Your Email address ________________________ |
| All above is required, info below is optional. |
| Bikes Owned or interested in_______________________________________________________ |
| _______________________________________________________________________________ |
| Other info that may be of interest to OVM members______________________________________ |
| _______________________________________________________________________________ |
| Can we list your phone number and bikes owned in the club roster? _______ (we don't list addresses) |
| Send this form with a check for $15.00 to Oregon Vintage Motorcyclists |
| P.O. Box 14645, Portland, OR 97293-0645 |
| Please note that all memberships expire in May. |
| Memberships that begin after May will be credited towards renewal |
| the following May, but you still need to pay $15.00 to join initially. |
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