Print and Complete this Form and Mail, along with Payment, to:

C.M.R.O.
    PO Box 1430
Painesville, OH 44077-1430

1-800-964-CMRO (2676)
 
 
 

Membership Fees: Single:  $20 Lifetime Single:  $150
Joint:  $30 Lifetime Joint:  $250
Junior:  $15 Business:  $50
Name:________________________________________________  Date:________________________________________

Address:______________________________________________

City & State:___________________________________________  County:______________________________________

Zip Code:_____________  Phone Number:___________________  E-Mail:_______________________________________

Check One: New___ Renewal___ Junior Member___
Check One: Single___ Joint___ Lifetime___
Registered Voter? Yes___ No___
Date of Birth:___________________________________________  Occupation:___________________________________

Type of Bike:___________________________________________

Skills/Contacts (helpful to organization):___________________________________________________________________

Signature:_________________________________  Parent/Guardian Signature (Junior Membership):____________________

Member Since____________________Month  ____________Year
***************************************************************************************************
Joint Applicant:
Name:________________________________________________

Registered Voter:   Yes___   No___   County___________________

Date of Birth:__________________________________________  Occupation:____________________________________

PLEASE PASS A COPY OF THIS TO A FRIEND!!!