ONE CLUB, ONE PATCH, ONE MIND SET

COLUMBIA, SOUTH CAROLINA BUFFALO SOLDIERS MOTORCYCLE CLUB



Buffalo Soldiers
of
Columbia, South Carolina

Membership Form




Name (Include middle initial)
Your chosen biker name::
Street Address::
City/State/Zip Code::

Home Phone#:
Cell Phone #:
Business Phone#:
Age::
E-Mail Address::
Emergency Contact::
Relationship:
Emergency Contact Phone #:
Are you legally licensed to operate a motorcycle?:
Do you currently own a motorcycle?:
If yes, Type, Model, Year, CC's:
# of years riding experience:
Please give a brief history of yourself (including military service, current employment, and membership in any other motorcycle clubs.
Explain why you are interested in becoming a member of the Buffalo Soldiers Motorcycle Club of Columbia, South Carolina:
I fully understand that the chapter colors purchased by me are the property of the NABSMC and must be returned to the chapter upon my departure regardless of reason::
Signature::
Date::

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