$35.00/year for the 1st year $25.00/year renewal

You can either fill in this form and click 'Send Information' button on the bottom and mail your check, or you can print this form and mail the check together with the printed form.

Make Checks payable to: Long Island BMW Riders Club

Mail check with form to:
LIBMWRC
Eric Rohrbaugh
53 Bayonne Ave.
Central Islip, N.Y. 11722

Note: If you are printing out this form, please sign on the bottom of the form and print the date.

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