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ICMS Application For Membership

 

Annual Membership Fees:

                                                

$20.00 Per Person

$30.00 Per Couple

____________________________________

___________________

Name

Fee Enclosed

____________________________________

___________________

Second Name (if couple desired)

Fee Enclosed

____________________________________

___________________

Mailing Address

Email Address

____________________________________

___________________

City

State

Zip

 

Print out, complete this application and mail it along with your fees to the address below.

 

Idaho Coalition for Motorcycle Safety, Inc.

Attention: Membership

PO Box 2732

Boise, Idaho 83701

 

Please allow 6 to 8 weeks for processing.

 


     
 

 

 
 

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