Application

Antarctic Motorcycle Club

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Name

Road Name

City

State

Phone

Office Phone

Office Email

Months on the Ice

If more than 4 months, enter the number of seasons

Sponsor's Name

How did you hear about the club?

Year, make, and model of bike(s)

Comments or Questions?

Confidentiality

All information will remain confidential and private.

Founding President FFMC

Vitro Cicola

Name *

Username *

Email Address *

Confirm Email Address *

Password *

Confirm Password *

Fields marked with an asterisk (*) are required.