|
Gold Wing Touring Association |
Is this
application a: (check one) |
| Memberships | 1 year | 2 years | 3 years | *Lifetime |
| Individual | $35 U.S. | $70 U.S. | $90 U.S. | $600 U.S. |
| Family (2 adults and up to 4 children) | $45 U.S. | $90 U.S. | $120 U.S. | $750 U.S. |
| Membership Information (please print clearly) |
| Name (last - first - mi) | Name (last - first - mi) | |
|---|---|---|
| (1) | (4) | |
| (2) | (5) | |
| (3) | (6) | |
| Street Address | ||
| City | State/Prov. | Zip/Postal |
| Home Phone | Work Phone | |
| Do you own a Gold Wing? Yes ___ No __
If No, specify brand____________________________ Assign me to Chapter______ St/Pr_______ |
| Your membership includes access to the GWTA Blue Line. It's a toll free 24/7 phone number to a directory of members and services they can provide fellow members touring the U.S. and Canada. To be listed in the Blue Line Directory, your phone number is required . This has been a very valuable resource to our members. Please check below each service you can provide. | |||||||||
| Bike/Trailer Pick-up | Phone Calls | Tent Space | Lodging | Tools | |||||
|
* Lifetime memberships may be paid in three yearly
installments of $200 Individual or $250 family. |
| Mail completed form to GWTA PO Box 42403 Indianapolis IN 46242-0403 |
GWTA Office Toll free: 1-800-960-GWTA (4982) Phone (317) 243-6822 - Fax (317) 243-6833 E-mail: membership@gwta.org |
| Recruiting credit to ______________________________________Membership # __________ |
The Gold Wing Touring Association is owned and operated by its members for its members. GWTA’s goals are to offer its members a variety of social and touring activities, to improve the image of motorcycling and promote safe riding practices. Note: $29 of annual membership dues includes a one year subscription to GWTA’s Touring News magazine. Your subscription cannot be deducted from dues. |
|
Revised 09/01/03 |
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