| Please review the CSBA Mission Statement and Faith Tenets and prayerfully consider your decision before joining us to do God's work.
If at all possible, please supply an email address so we may contact you without cost to the CSBA. Your email address will not be given to any outside organizations and will be used only for official CSBA correspondence unless you give permission to have it included in the member directory. |
| Primary Member's Name |  |
| Spouse's Name |  |
| Associate Member's Name |  |
| Address |  |
|  |
| City |  |
| State |  |
| ZIP/Postal code |  |
| Country |  |
| Phone |  |
| Email Address |  |
| Month & Day of Birth |  |
| Occupation |  |
| Current Bike |  |
| How did you find us? |  |
Yes No | Have you completed a motorcycle safety course? |
Yes No | Would you like your contact information to be included in the CSBA Hospitality List? (Your name, address and phone number sent to other list members that may encounter mechanical or directional problems while traveling through your home area) |
Yes No |
Include your name in the online member directory? |
Yes No |
Include your address in the online member directory? |
Yes No |
Include your phone in the online member directory? |
Yes No |
Include your email address in the online member directory? |
Yes No |
May we send you email announcements from CSBA? |
| | |
| Beliefs | |
Yes No |
I confess Jesus Christ as my Lord and Savior |
Yes No |
The Bible is the unerring Word of God and our sole rule of faith |
Yes No |
The virgin birth of Jesus Christ |
Yes No |
Jesus is the only begotten Son of God |
Yes No |
Jesus lived a sinless life |
Yes No |
Jesus' vicarious death on the cross was for the sins of the world |
Yes No |
Jesus was bodily resurrected on the third day and now sits at the right hand of God making intercession for believers |
Yes No |
Jesus will come again in the future for His church |
Yes No |
Jesus is the only name under Heaven by whom we may be saved |
| | |
| Testimony | Please briefly share your testimony and where you are today, spiritually. |
|  |
|  |
|  |
|  |
| | |
| Your Walk | How would you describe your personal relationship with Jesus Christ today? |
|  |
|  |
|  |
|  |
| | |
| Church | Indicate if you are a member in good standing of a church. If so, the name of the church, length of your membership, and any involvement (usher, teacher, etc). |
|  |
|  |
| | |
| Preferred Denomination |  |
| | |
| Comments | Please let us know if you are on active military duty, are requesting that your dues be waived, or any comments you wish to make. |
|  |
|  |
|  |
|  |
| | |
| Applicant Signature |  |
| Date |  |