MEMBERSHIP  APPLICATION FORM

We are only accepting E-Processing forms and PayPal payments

Mailing Address:

Legal Name:

Street number: Street:

City:

State or Province

Zip Code:

Country:

Email address:

General Information:

Your Motorcycle:

Years riding:

Biker name:

T-shirt size:

Large Patch you want:
                                                 (Classic Skull or SSLB Wing) 

What is your interpretation of Silent Skulls?

What is your definition of Lone Biker?

Do you want to be on "Find a skull list"? (yes/no)

Signature or type name:

You must be at least 21 years old or biker emancipated. By signing you are identifying as one of us, joining us and accepting our lone biker family. You agree to honor and respect our Club creed, philosophy and camaraderie.

Payment:

Membership $250 plus S/H:  

U.S. Priority Insured Mail: $250 Plus $25 = $275

Canada Global Express Mail: $250 plus $40 = $290

International Global Express Mail: $250 plus $50 = $300

Process:

Once we received your Application Form we will email you a PayPal invoice for payment. After you pay our invoice, we will start your membership processing and mail it to you within 3 weeks from the date you paid. There are no refunds you are paying a one time membership fee to our Club.

We will only hold your Application Form for 30 days after the date of your PayPal invoice.

 Send all questions and comments to sslb@hcc.net