Bikers Rights Organization (Ontario) Inc.

Regions:         Elgin-Middlesex                Kawartha Lakes                        Niagara         
                      Port Colborne                   Sault Ste Marie
                      Independent (For members not covered by a Region)


Please fill in your information above and MAIL the completed form with your cheque or money order, NO CASH , payable to Bikers Rights Organization (Ontario) Inc
                                                      NO EXCEPTIONS


_____$25 New Membership
_____$20 Membership Renewal
_____$25 Late Membership Renewal
_____$10 Freedom Newsletter Subscription
_____$00 Change of Address


                            ALL DUES TO BE PAID ANNUALLY BEFORE DUE DATE


All personal information provided is kept in the strictest of confidence according to the Privacy Act.


                                                                                                                                                                     Updated October 19, 2015

‚ÄčONTARIO INC

DEDICATED TO RESPONSIBLE MOTORCYCLE LEGISLATION
BIKERS RIGHTS ORGANIZATION (ONTARIO) INC.
C/O Membership Secretary
PO Box 276
Niagara Falls, ON L2E 6T3

Name: ____________________________________________________________________________________


Address: _________________________________________________________________________________


City: _____________________________________________________________________________________


Province: ________________________________________________________________________________


Postal Code: _____________________________________________________________________________


Telephone: ______________________________________________________________________________


Region: __________________________________________________________________________________


Date: ____________________________________________________________________________________


Email: ___________________________________________________________________________________