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application; copy, paste,and fill out in pm to Coffin Gloom
Topic Started: Dec 8 2012, 11:55 AM (58 Views)
otlongshot
Administrator
[ * ]
: ✠THE BREED M.C WORLDWIDE.✠ :|||||

After completion please send to Coffin Gloom Directly

SLName:

SL AGE:

RL AGE:

name of all ALTS:



Partnered: ________ if yes Spouse Name __________________


other M.C.'s you have been in:




What you want from an M.C.:






What do you feel you can bring to the Club:






Why you want to be in this M.C.:






How you found out about this M.C.:
(Recruiter name if one)




Do you know anyone in this M.C.:
(list all that apply)





Are you currently involved in or participating in any charities:
(if yes please list)



What does family mean to you:






List available times you have to deticate to this M.C. ....













signature__________________ date:



FOR OFFICE USE ONLY:

Received date: ______________________________ by: _____________________________________________
Accepted Yes No *if not accepted state disqualifying reason:__________________________________
____________________________________________________________________________________________
Mentor assigned: __________________________________
MENTOR APPROVAL
Assignment date: ______________ Mentor recommend Yes No Date: _______________
Notes: _____________________________________________________________________________________
___________________________________________________________________________________________
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