A.B.A.T.E. of West Virginia

Eastern Panhandle Chapter

Online Membership Application

Name

City

Address

WV PA VA MD DE

Phone

State

Zip Code

YES NO

YES NO

Renewal

YES NO

If NO Register Here

New Member

Registered Voter

YES NO

YES NO

Motorcycle Owner

Motorcycle Safety Course

No Yes; $5.00

Patch Requested

Single 1 year $25.00 Single 2 Year $45.00 Single 3 Year $65.00 Couple 1 Year $40.00 Couple 2 Year $75.00 Couple 3 Year $100.00 Junior 1 Year $7.50 Junior 2 Year $12.50 Junior 3 Year $17.50

Membership Options

I will mail a check I will bring dues to the next chapter meeting I have made my payment via PayPal

Paymeny Method

Please provide a valid e-mail address

You will receive an e-mail within 3-5 business days after submitting this form. Once payment is received an e-mail confirming that your membership card, newsletter, and patch, if requested, has been mailed to you. Once Pay Pal is up and running on this portion of our site. You will receive an e-mail once the transaction has been completed. Your membership card and newsletter will then be mailed to you.

As advocates of motorcycle training, education, and awareness, the Eastern Panhandle Chapter of West Virginia A.B.A.T.E. truly appreciates our members' input and participation.

NOTES:

Anyone can join A.B.A.T.E. you don't have to own or ride a motorcycle. All you have to do is care! Junior members are those under 18 years of age.

ABATE of West Virginia, Inc.

Eastern Panhandle Chapter P.O. Box 2836 Martinsburg, WV 25402

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