Name: ___________________________________________________
Address: _________________________________________________
City: _____________________ State:__________
Zip:_____________
Telephone:
___________________________________________(home)
Email:
____________________________________________________
Agency:
___________________________________________________
Work Number:______________________________________________
Please
include Xerox copies of the following information with
this application.
| ____ : Drivers License |
____ : Motorcycle Registration |
| ____ : Police Identification |
____ : ID (DD214, Retirement ID,
etc) |
If approved for membership,
there
is a one time non-returnable fee of $100.00 (US)
payable to "Riley G
Matthews".
DO NOT SEND MEMBERSHIP FEE UNTIL TOLD!
PRESENT CHAPTERS MAY SEND THE FEE WITH THE APPLICATION'S
The BBMC Colors remain
the property of the BBMC and must be returned if the member
resigns
or leaves the BBMC for any reason within ten (10)
years of membership.
All PROSPECTS must
send an application to International while prospecting
with a chapter for
membership and there will be a 90 day minimum period before colors
will can be issued
(from initial application received.)
____________________________
________________________
Signature of Prospective
Member
Local Chapter President (sign)
To be considered for membership
into the BBMC.
Printout this form and
mail it to the address above.
There is a prospecting period for non-chapter charter members.
Revised: Feb 13 2004
