Volunteer Membership/Supporter Application Form

MEMBERSHIP FEES

Yearly Single Membership                         $15.00                              

Yearly Couple Membership                       $20.00  

Lifetime Couple Membership                   $150.00

Lifetime Single Membership                     $100.00

Supporter (patch included)                           $5.00

MERCHANDISE PRICES

12” X 8” Back Patch *                               $30.00

4”X 2.5” Front Oval Patch*                       $10.00

Westmoreland County Rocker Patch*        $20.00

Life Members Bar Patch*                             $5.00

Chapter Bar Patch*                                      $5.00

Originals 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, and is dedicated to assisting abuse victims & programs that assist children in ways approved by the corporate by-laws of the charity.  By corporate by-laws of this charity, this organization supports the freedom of choice issues concerning American Motorcyclists, and is a National Coalition of Motorcyclists NCOM member groups and the PA Confederation of Clubs.

oLifetime Membership receives one set of Patches (asterisk items) (A $75.00 value)

oYearly Membership requires purchase of front oval, back oval, rocker, chapter bar and

   originals bar patches. ($70.00)

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

oSupporters are entitled to wearing the BACA logo supporter patches, attending any

   and all events but, may not vote on corporate or charity business.

oAll memberships may be revoked for (just cause) violations of the domestic abuse

   laws, State or Federal laws, or general by-law violations.

oAll membership dues are non refundable.

oWe 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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To become a member, please provide the following information

Name:_______________________________________________________________

Name:_______________________________________________________________

Address:_____________________________________________________________

____________________________________________________________________

                City                                                                      State                                        Zip

Home Phone #________________________________________________________

Cell Phone #__________________________________________________________

E-mail Address:_______________________________________________________

Applicant 1 Signature:__________________________________________________

Applicant 2 Signature:__________________________________________________

Date:_______________________________________________________________

Please mail your application with check or money order to:

B.A.C.A. Westmoreland County, PA Inc.

P.O. Box 561

Irwin, PA 15642

Or bring the application and fees to one of our meetings.  

PLEASE STOP THE HURT, IT'S THEIR FUTURE