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HOW TO JOIN THE GOLD WING ROAD RIDERS ASSOCIATION ..Print, complete and mail this form to GWRRA, P.O. Box 42450, Phoenix, AZ 85080-2450

Please check items you will provide for travelling fellow members. NOTE: We must have a home phone number for your name to appear in the Gold Book.

[__] New

[__] Renewal

Membership#:____________

Name:_____________________________Associate Name:__________________________ Address:___________________________________________________________________ City:_________________________State/Prov:_____________________________________

Home Phone:[____]____-____________Work Phone:[____]____-______________________

Gold Wing Year:_____________________Model:___________________________________

Ham Operator#:_____________________________________________________________

[__] A Pick-up Truck/Bike Trailer. [__] B Phone Calls. [__] C Tent Space. [__] D Lodging. [__]E Tools. [__] F Please do not include me in the Gold Book.

Full Member (Gold Wing Owner/Operator)

[__] 3 Yr. $90

[__] 2 Yr. $65

[__] 1 Yr. $35

(US Funds)

Full Membership includes subscription to Wing World, decals, keychain, pin, patch, membership card, Gold Book Directory & courtesy cards. (Outside the USA, Add $10/year)

Associate Member (Spouse or Dependent in same household)Associate membership includes all the above, except Wing World, Directory & keychain.

[__] 3 Yr. $20

[__] 2 Yr. $15

[__] 1 Yr. $10

(US Funds)

Booster (Non Gold Wing Owner)

[__] 1 Yr. $25

(US Funds)

(Outside USA, Add $10/year)

Boosters recieve subscription to Wing World magazine, patch, "Booster" rocker, and ID card. Make checks payable to: (Outside U.S., add $10/Year.) GWRRA.

[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_]Credit Card [_] Visa [_]Mastercard[_] Discover

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Signature__________________________________________________________________

FIND-A-FRIEND CERTIFICATION:

Name: ____Les Knauer________________Membership#:___88260___________________