MEMBERSHIP/SUPPORTER APPLICATION FORM

WESTMORELAND COUNTY

BIKERS AGAINST CHILD ABUSE, INC.

MEMBERSHIP FEES

Annual Single Membership   $15.00

Annual Couple Membership  $20.00

Life Single Membership        $100.00 (Includes 1 set of patches, * items below)

Life Couple Membership       $150.00 (Includes 2 sets of patches, * items below)

B.A.C.A. Supporter (patch included) $8.00

MERCHANDISE PRICES

Back Patch *                                    $30.00

Front Oval Patch*                              $10.00

Westmoreland County Rocker Patch* $20.00

Life Members Bar Patch*                   $5.00

Chapter Bar Patch*                           $5.00

Bikers Against Child Abuse of Westmoreland Co., PA Inc., is a non-discriminating, non-profit charity, dedicated to assisting child abuse prevention & awareness programs in the state/county where incorporated.  

Annual Membership does not include patches.

All Members are required to use blue denim, collared vest. (N/A for Supporters)

Supporters are entitled to wearing the BACA logo supporter patches, attending any and all events but, may not vote on corporate

or charity business.

All memberships may be revoked for (just cause) violations of the domestic abuse laws, State or Federal laws, or general by law

violations.

Membership donations are non refundable.

We are a 100% Volunteer Organization and it is NOT required to own or ride a motorcycle in order to be a member. 

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Please provide the following information:

Name(s):                                                                                                                                                                                                       

Address:                                                                                                                                                                                                        

City                                                                                                                                                          State                   Zip                      

Home Phone :                                                                                                                                                                                              

Cell Phone #(s):                                                                                                                                                                                           

E-mail Address(s)                                                                                                                                                                                       

Applicant(s) Signature(s):                                                                                                                                Date: