Online Membership Application/Renewal
(U.S.A. Only)

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U.S.A. Accounts only, for other countries, return to Membership Services page.

 

This form is for new or renewal memberships only. If you wish only to correct previous membership information, click here.

* Indicates Required Fields- (New or Renewal fields, one or the other).
U.S.A. Accounts Only, for other countries, return to Membership Services page.

 *NEW - $35 + **$2= $37.00  per year (Single or Couple)
**Credit card convenience fee. Discounts available for multi-year memberships after you click on the "continue" button after completing this form.		  
 *RENEWAL - $35 + **$2= $37.00 per year (Single or Couple) **Credit card convenience fee. Discounts available for multi-year memberships after you click on the "continue" button after completing this form.
AMA (American Motorcyclist Association) Membership Number (if member- needed for our charter):   
 
Primary Member (Bike Owner/Rider) 
*Last Name:		  
*First Name and Middle Initial:   
*Mailing Address:  
*City:  
*State:  
*Zip Code:  
*Home Phone number (with area code):  
*E-Mail Address:  
*Gender:  
 M/C Year:  
 M/C Manufacturer:  
 M/C Model:  
 Attend Motorcycle Safety Foundation Class?  
*Are you a military veteran?  
Your AVA Message Forum Username (needed for AVA Member Group Status- ONLY IF ALREADY REGISTERED ON FORUM. You need to register for forum separate from membership- go to forum, and click on the text "register" near the top left of any forum page) IF NONE- SO STATE:
 
Support Member (Riding Partner/Spouse)
Last Name:
First Name and Middle Initial:
E-Mail Address (if any and different from Primary Member):
Gender:
M/C Year (if have own bike):
M/C Manufacturer:
M/C Model:
Attend Motorcycle Safety Foundation Class?
Are you a military veteran?  
Your AVA Message Forum Username ONLY IF ALREADY REGISTERED ON FORUM. You need to register for forum separate from membership- go to forum, and click on the text "register" near the top left of any forum page) IF NONE- SO STATE:


Name of Person who referred you to the AVA (If applicable):
*Where did you first hear about the AVA?
*International Roster Member Directory- Shall we include you in this directory?
Assistance Directory (Part of the International Roster Directory)- Please indicate how you may be able to assist a fellow AVA Member in the unlikely event of a breakdown or information request. (NOTE: You must have your name and/either a phone number, or email at a minimum listed in the International Roster to be able to assist anyone with any Assistance Directory Items- if you indicate you don't want either your phone number or email listed in the Roster Directory, and you checked Assistance Directory items other than "won't be able to assist", you will not be listed as being able to offer assistance): Won't be able to assist.

Pick-Up available for use.

Bike Trailer available for use to transport.

Lodging

Tools

Travel or Dealer Information

Please make sure all information is correct BEFORE clicking "Continue" button!

Also, After you click on "Continue" button, this form will be sent to the AVA, however, you must complete steps in the payment page for your membership or renewal to be completed. All payment information is done on SECURE PayPal servers. Look for the secure site indicators AFTER you click on the "Click Here to Pay", or, "Add Item to Cart" PayPal button(s), which is where you will enter your payment information.

 

 

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