Join us for this 6th Road Trip! ยท We're gearin' up for a great ride!
C of A>
Space Reservation Application
 

The product you selected is currently unavailable.
Price: $30.00

Please note you do not need to make a purchase here... the reservation fee can be paid here if you want to but you DO NOT need to make payment through this website, you may mail your payment to the address given on the C of A page instead. However, the information given on any payment through this site will be used to make contact when the book is complete and ready for delivery. If you choose to mail your payment, please include the information needed for delivery as well.  Either way, you will need to copy and paste the application into an email and send to bikerliving@yahoo.com   ...Thank you!

Please take a moment to copy and paste this application into an email...

Please fill it out then send it to us at bikerliving@yahoo.com 

Please put 'C of A' in the subject line.

Space Reservation Application

 

  • YES! The patch-wearing motorcycle organization I represent most definitely wants to be a part of this one of a kind national project & do what it takes to make that happen!
  • I, like_____ dislike____ the title of this project!
     
  • I would like to reserve space in this informative book for our patch-wearing motorcycle club, group or association and approve that proceeds from the sales of this book be donated to benefit the US Defenders Program.
  • I understand our article must be submitted in a timely manner, to be received by Biker Living within 60 days of today’s date. I also understand we will have an opportunity to update our piece before final proof and print date.
  • I will include a photo of the Organization’s Back Patch along with other photos we would like considered to be included in our page.
  • I understand two officers of the organization must read, approve and sign their approval of our completed entry before we submit our photos and article to Biker Living.
  • I realize that each entry will be a page or less, there may be two to a page in some cases, in others it could take a page and a half... that my application reserves the ‘space’ required, be it a half page, whole page or page and a half.  I also realize each Chapter is encouraged to participate, reserve their own space and tell their own story.
  • I will help promote this project to other patch wearing riders across the country that I am acquainted with or make contact with, directing them to Biker Living for more details. Once the project is complete and ready for sale, I will help distribute through sales to our members as well as others.
  • I understand and agree that after all publication related expenses are paid, a MAJOR portion of the proceeds will be donated to benefit the US Defenders program’s business fund.

I understand that the information asked for on this reservation application  is only being used by Biker Living, as a way of crosschecking and organizing the stories that are submitted and as a way to be sure every organization and all their chapters gets the opportunity to participate.

I am aware that Biker Living will hold information on this reservation application in strict confidence and that none of the information on this application will be shared with anyone for any reason without my explicit written consent.


On behalf of the motorcycle organization I represent, I am submitting a $30 contribution to help offset publication costs for the collaboration book 'Colors of America'.

Payment: (Online/Cash/Check#)___________

Motorcycle Organization Name: ____________________________________________________________

 

State & Name of my Chapter:
________________________________________________________________________

The names of other Chapters within my State:

________________________________________________________________________________________________________________________

 

________________________________________________________________________________________________________________________

Chapters in these other States:

________________________________________________________________________

National  President: __________________________

State President: _______________________________


My Name: ___________________________________


My Contact Email: ___________________________

My Contact Phone (optional) ___________________


Signed:_____________________________________


Position Held: ______________________ Date: ________________