New membership will be assigned by the Treasurer-Secretary. Your membership packages include various information including, decals, membership cards, code of ethics, any important event information, bumper stickers etc. which will be mailed following receipt of application and payment. Please allow up to four weeks for mail out. Questions or concerns please email the Treasurer-Secretary.

(If you are renewing your membership)
Please note to ENSURE that your correct MAILING ADDRESS and telephone numbers are included. If you are renewing your membership please enter your current SDBA Membership Number in the correct field below.


**Name:

Motorcycle Make:

**Contact Phone Number:

**Emergency Contact Number:

**E-Mail:

**Mailing Address:

City:

Province/Zip Code:
  
Membership Number:

Membership Term:

 
Membership Type:
Single $25.00
Family $35.00
All immediate family members must be under the age of 18 - Singles $25 and Family $35 (Note: Family memberships can only include 3 immediate family members under the age of 18)
The new term for the membership is June 1, 2008 - May 31, 2009 **(if you sign up now you get the bonus remaining months from the 07/08 term)**
Member 1 Birthday SDBA #
Member 2 Birthday SDBA #
Member 3 Birthday SDBA #


I want to Pay By Credit Card:
Credit Card Type** 
Card Number**   
Expiration Month/Year**
Name on Card** 


First Aid certificate:
Yes
No
First Aid certificate Level:
level 1
level 2
level 3


I the undersigned, by applying for membership to the Squamish Dirt Bike Association, agree to abide by the constitution and by-laws of said association and recognize the club objective: to improve and enhance the image and sportsmanship of off-road motorcycling