J o i n  R P M

Member Enrollment Form By submitting this application, I read and understand the rules and regulations of RPM Next Generation - MC. I understand that by submitting this application, it does not confirm my acceptance into the team. All information submitted will be held confidential, and never used for any other purpose other than RPM. If your enrollment form is accepted there will be a $50 application fee. Name: Nickname: Gender: Male: Female: Address: City, State, Zip: Cell Phone: Direct Connect (Nextel) Cell Phone Provider: Email: Bike Information Make: Model: Year: Type: License Permit Years Riding: Why are you interested in becoming an RPM member: How did you hear of RPM: