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Buffalo Soldiers Motorcycle Club Of Alabama
Birmingham Chapter
You Full Name:
Your Email Address:
Address:
City:
State:
      Phone:
Zip:
Date of Birth:
Age:
Occupation:
Motorcycle Make:
Motorcycle Model:
Prior Experience:
Have you completed a widely recognized
motorcycle safety course?
No
Yes
Have you ever ridden with a group?
No
Yes
Give a brief history about yourself and tell us why you would like to be a part of
our organization.
OCOPOM