SOUTH FLORIDA RIDERS CLUB

MEMBERSHIP APPLICATION

H.R.C.A CHAPTER # 0377   Web site:   WWW.sfrc.org

 

Name:   

 

Address:

 

City, State, Zip :

Phone: () -                Cell: () -

 

Email: Birth: Month Day

 

Anniversary Month/DaySpouse’sname:

 

H.R.C.A. #­­Exp. Date:

 

Sponsoring Dealer:        Riva Motorsports

                                         3671 N. Dixie Highway

                                         Pompano Beach, Florida  33064

 

Regardless of affiliation with the Honda Rider’s Club of America, chapters are separate entities responsible for their own actions.  All members voluntarily participate in HRCA and chapter activities and do so at their own risk.  The Honda Rider’s Club of America, the sponsoring dealer, American Honda Motor Company, Inc., South Florida Riders Club and it’s officers, are released and held harmless from any injury or loss incurred by a member or to a member’s personal property which may have occurred as a result of participating in the Honda Rider’s Club of America or affiliated chapter, or any of their activities.  Proper attire and helmets are strongly recommended.  Drinking alcohol on rides is prohibited.

 

Dues:  $20.00 annually per member.  The fiscal year is July 1 to June 30^th of each year.  Membership renewals are due by June 30^th.

Send application and check payable to SFRC to:   Susan Dennis   

                                                                                     7330 NW 45th Court
                                                                            Lauderhill, Florida  33319 

 

 

MEMBER SIGNATURE                                                                                                                       DATE

 

CHAPTER PRESIDENT APPROVAL SIGNATURE                                                                       DATE