Maryland Stealth Riders MC/SC/AC Membership Application First Name: Last Name: Email Address: Address: City: State: Zip Code: Cell Phone: Home Phone: Work Phone: Motorcycle Social Auto 2G MD Stealth Riders   Emergency Contact Name: Phone: Address:   MD Stealth Riders Applciation Fee $50 2G MD Stealth Riders Application Fee: Free   Please note that submission of this application you understand that none of the trip or other activities organized by the Maryland Stealth Riders MC/SC/AC are covered by any insurance. The club has no responsibility for the craft or its driver. You will be required to by the Motorcycle and Car Clubs to submit proof of valid driver's license and insurance. As a member of each of the clubs you certify that you are over the age of 21. If you are between the age of 16 and 21 you will automatically become a member of the 2G MD Stealth Riders until your 21st birthday. Membership in 2G MD Stealth Riders entitles you to the benefits of Car and Social Club. You will be required to sign this application upon approval.   I certify that the data provided herein is true and complete to the best of my knowledge and authorize any inquiries necessary to confirm the information provided. I understand that any false incomplete or misleading inforamtion may result in the rejection of my application for membership. I agree that MD Steatlh Riders shall not be liable in any respect if my membership is terminated because of false statements or omissions and understand that the membership fee is non-refundable. I hereby release MD Stealth Riders and any affiliates from all liability. If my application is accepted for membership I understand that the membership is at the mutual consent of the member and MD Stealth Riders club. Accordingly the club or I may terminate the relationship at will at any time with or without cause or advance notice. I also acknowledge that all material including patches and decals bearing the MD Stealth Riders club name or logo remain the property of MD Stealth Riders club and must be returned to the club immediately following membership termination. An initial membership fee will be due at the submission of application. The fee will be disclosed when the application is turned in. Security code:   * Do not enter anything in this field:

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