Masonic Motorcycle Club International

Berwick, Pennsylvania

Chapter # 25

Application for Membership

The Masonic Motorcycle Club International, Inc. Chapter 25 consists of Master Masons in good standing in a Lodge of master masons recognized by the Grand lodge of Pennsylvania. The Masonic Motorcycle Club International Chapter 25 is a nonprofit organization as well as a call to refreshment for brethren who ride motorcycles 350cc or larger, to tour, sightsee and have fun while promoting good fellowship, the Masonic Fraternity, making friends and getting more out of life.

There is an initiation fee of $25.00 that includes a three inch patch, pin, first year dues, newsletter and information regarding M.M.C.I. Renewal dues are currently $15.00 per year. Associate Member Non-Rider initiation fee is $10.00 the first year and $2.00 annually. Dues are payable annually June 1^st.

Application for membership:__________ or Associate Non-Rider: ___________

Name:_______________________________________ Birth Date:________________

Address:_____________________________________________________________________________

City:______________________________ State:___________________ Zip Code:__________

Wife / Companion’s Name:_____________________________________

Phone Number:___________________ Email____________________@______________________

Lodge Name, Number & Location:_______________________________________________________

Motorcycle:____________________________ Occupation:________________________________

Other Organizations:__________________________________________________________________

Beneficiary:__________________________________________________________________________

Have you previously held M.M.C.I. membership ______ If yes, Chapter Number________________

Where or how did you hear of M.M.C.I.__________________________________________________

Signature:___________________________________________ Date:________________________