Ghost Ryderz Extreme MC

Atlanta Chapter

Ghost Ryderz® Extreme Motorcycle Club Online Application

**** You must OWN a motorcycle of 600CC or better ****

**** Must have at least 2 years riding experience ****

Note: This form is only for those who have already been riding with us and are ready to take the next step toward membership. If you're new to Ghost Ryderz, please reach out through our contact form first.

Official Membership Application Print out and mail in form or submit online below.
Membership Type	New Member Previous Member Renewal
Name *
D.O.B *
Address *
City *
State *
Zip *
Telephone *
Cell #
Email Address *
Do you own a motorcycle?	Yes No
Plate #
Plate State
Current operator's license?	Yes No
License #
Motorcycle rated?	Yes No
Permit Issue Date
Permit Expiration
Motorcycle Make
Model
Year
How long have you been riding?
Motorcycle accident?	Yes No
How many times?
Previous MC/RC/etc?	Yes No
Name of previous MC/RC/etc:
Reason for leaving:
Point of contact:
Ever been convicted of a felony?	Yes No
Was the conviction sex related?	Yes No
Emergency Contact
Name
Address
City
State
Zip
Phone

Ghost Ryderz® Extreme Motorcycle Club Online Application

Ghost Ryderz® Extreme Motorcycle Club Online Application