APPLICATION FOR MEMBERSHIP/RENEWAL


Name: _____________________________________________   Date:________________

Address:_______________________________________  Phone: (___) ______________

City:___________________________________________  State: ____  Zip:___________

E-Mail:____________________________________________________________________


Fire Department Affiliation:_________________________________________________

Address:_______________________________________   Phone:  (___) _____________

City:___________________________________________  State: ____  Zip:___________

Career or Volunteer? ____________________________

Type of Membership (circle only one):
Active        - Firefighter in good standing (career or volunteer).
Social        -The spouse; boyfriend (1); or girlfriend (1); Sons or Daughters of an Active or Associate Red Knight.
Associate  - Friend of an active Firefighter who is a Red Knight.
Retired      - A retired (career or volunteer) Firefighter. (Also considered an “Active” member)
Honorary   - A member of a recognized religion for the position of Chapter Chaplain.
             A civic or business leader who does volunteer work for the Chapter.  
             A widow or widower of an Active or Associate member.
New________                        Renewal______

I, the undersigned, do hereby apply for membership/renewal to the Red Knights Motorcycle Club, Maryland
Chapter 4.  I agree that I must abide by the Constitution and By-Laws of the Club.

I have furnished a copy of my valid motorcycle license and proof of my affiliation with the fire/EMS service as
required by the Constitution and By-Laws of the Club.

Upon separation or my decision to leave this Club, I will surrender my Colors to the Quartermaster and will be
compensated as stated in the By-Laws of the Club.

Signature of Applicant:____________________________   Date:________


Payment        Application fee must accompany your application form.  Our annual membership dues are $30 for
Active/Associate/Retired and $25 for Social/Honorary
Payment By:                                    
Check                Check #        __________                  
Cash                (please do not send cash in the mail)
Registration Instructions: Complete this form, enclose your check (made payable to: RKMC_MD4) and mail to:

                                                 Red Knights Motorcycle Club – MD4
                                                 Attn: Babs Kile, Secretary
                                                 P.O. Box 447,
                                                 Hughesville, MD  20637

This section to be completed by the membership committee: Approved: _____        Rejected: _____       

Signature:_________________________________    Date:_________________