International Fellowship of Motorcycling Rotarians-
North America Chapter (IFMR-NA)

Membership is open to any Rotarian or Rotaractor. IFMR-North America chapter dues are USD $20, from 01 July – 30 June. Late dues and donations are always accepted. Please complete and return the application form. As a member of IFMR you will automatically receive newsletters, organized ride information, and member chat, plus other information, via this website and the chapter's email server, ifmr-na@yahoogroups.com. You can also find information about IFMR activities and events in other chapters in other parts of the world at www.IFMR.org

If you prefer to submit your application via snail mail, please print the application form found by visiting http://www.ifmr-na.org/docs/IFMR_Mbr_App.pdf. Otherwise, please complete all requested information below.

Should you have any questions, please contact:

President, IFMR-NA
Chris Jones
11116 Clarkview Ct
Charlotte NC 28269

980-288-4007 during normal business hours

chris.jones.rotary@gmail.com

Membership Director, IFMR-NA
Larie Trippet
Reno, NV

membership@ifmr-na.org

MEMBERSHIP APPLICATION/RENEWAL FORM

North American Chapter Annual Dues are USD $20 for Year 01 July to 30 June. There are 2 steps to this application for membership / renewal.

Step 1> Complete the requested fields below. Fields marked with an "*" are required and must be completed before advancing to the next step.

Step 2> Click on the SEND button. You will then be taken to another screen where you can then "click to continue" to a new screen to process your Membership Dues payment.

Step 3> Complete the information requested for payment.

This is the same form you should complete if you are renewing your membership for another year. We need this information so that you will remain on the Motorcycling Fellowship mailing list. Thank you!

Fields marked with "*" are required.

* Application Type: Select One	New Member Renewal
* Your First Name:
* Your Last Name:
* Your Email Address:
Partner First Name:
Partner Last Name:
* Mailing Address - Street Number & Name
Suite / Apt / Floor
* City:
* State / Province:
* Postal Code:
* Mobile Phone Number
Alternate Phone Number
Have you served, currently serving, or been nominated to serve as a District Governor?	Please select "Yes" Or "No" before proceeding
* Rotary District Number:
* Rotary Club Name:
* Rotary Classification / Profession Classification - Learn More HERE
Meeting Day:
Meeting Time: (include AM or PM)
Meeting Location:
Motorcycle Brand & Model
I would like to help IFMR-NA with (check all that interest you)	Helping organize local & regional IFMR rides and get togethers Helping publicize & promote IFMR among Rotarians to build participation in the Fellowship Helping with member news, photography, newsletters, website and on-line communications Other? Complete this comments box:
* How did you hear about IFMR-NA?
Any other comments that you wish to share?
FOR NEW MEMBERS ONLY: Please indicate if you would like to receive: Rotacyclist Lapel Pin Reflective Decal 8 inch Embroidered IFMR Patch Renewing Members may purchase these items plus many more fun items to own through the IFMR-NA Store located HERE.
* Please enter into the blank field below the letters and/or numbers you see in the image above. Note that the letters are case sensitive. [ Click here to get a different Image ]

*Please be patient. This form takes a little bit of time to process. Thank you.*