Our moto is "Adding fun and adventure to our lives while growing old disgracefully."

Is this club for you? Do join if:

• You like to travel first class.
• You like to support Vail Valley Charities.
• You are not a jerk.
• You do not like rules.

You might not be comfortable joining if:

• Watching someone smoke a cigar offends you.
• Drinking good wine offends you.
• Splurging on gourmet food offends you.
• Splitting all restaurant bills evenly offends you.
• You want to vote on anything.

Membership Benefits Include:

1. Entry in the annual RIDER cup for charity golf event.
2. Weekly summer motorcycle rides.
3. Weekly summer Jeep rides.
4. Invitations to worldwide travel events.
5. Invitations to golf and ski events.
6. Invitations to special motorcycle events.
7. Invitations to special Jeeping events.

Type of Membership (select one)

Full Membership + Jacket and 2 T-Shirts	Full Membership No Jacket, No T-Shirts	Spouse Membership + Jacket and 2 T-Shirts	Spouse Membership No Jacket, No T-Shirts
$500.00 + Dues	$300.00 + Dues	$400.00 + Dues	$200.00 + Dues
ANNUAL DUES - for All Membership Levels: $100
T O T A L
$600.00	$400.00	$500.00	$300.00

Please complete the application and mail your check to:

Cordillera Motorcycle Association

80 Red Tail Ridge

Edwards, CO 81632

Merchandise will not be sent until payment is received.

Your Information
First Name:
Last Name:
Email Address:	(example: bobsmith123@aol.com)
Birthday: (MM/DD/YYYY)	/ /   (year optional)
Anniversary: (MM/DD/YYYY)	/ /   (optional)
Spouse's Name:	(optional)

Mailing Address
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Cell Phone:

Sponsors Names
#1:
#2:
Vehicle #1 Information			Vehicle #2 Information
Make:			Make:
Model:			Model:
Year:			Year:

T-Shirt Size: Small Medium Large X-Large XX-Large XXX-Large

Jacket Size: 36 38 40 42 44 46 48 50 52 54