2017 Dues Price Reduction
Dues for ALL members (all countries) are only $20!

Annual Membership is for one full year and includes up to two members. All brands of motorcycles are welcome!
Please use this form for new memberships and renewals

(Don't want to register online? Click here to print out the form and mail it in with your check!)


 
*
(Our apologies, but we have to charge a small "online convenience fee" to cover credit card processing costs.)
* = Required
Membership:     *
If Renewing - Member #:   
(Optional)
If renewing, do you want a "year" pin?   Yes     No
Dues are now only $20.00 (USD)


(Optional)
Do you want a Co-Rider "year" pin?   Yes     No
If you are member of the AVA forum, what is your forum User Name?   

R I D E R

C O - R I D E R

First Name * First Name
Last Name * Last Name
Address * Address
City * City
State/Province * State/Province
Country * Country
Zip/Postal Code * Zip/Postal Code
Email Address * Email Address
Home Phone Home Phone
Cell Phone Cell Phone
Motorcycle Make Motorcycle Make
Motorcycle Model Motorcycle Model
Motorcycle Year Motorcycle Year
Are you a Veteran?  
    Yes     No
Is the Co-Rider  a Veteran?
    Yes     No
Have you attended a MSF SafetyClass?
    Yes     No
Has the Co-Rider attended a MSF SafetyClass?
    Yes     No

PLEASE INCLUDE ME/US IN THE INTERNATIONAL ROSTER DIRECTORY [NOTE: Name, City, & State will be listed if no choice is made.]

Yes (check all applicable boxes below)
    Name   Address   Phone   Cell Phone   Email
  
NO, Do not include any information including name
 
Include me in the Assistance list
         I can assist with:
UNABLE TO ASSIST
        Pickup Truck   Tent Area   Bike Trailer   Lodging   Local Information   Tools
        Other (Please specify) : 
  
* = Required