| Mailing Name | Name line that mail sent to this membership should be addressed to.
(Mr Robert Jones, Bob Jones, Bob & Mary Jones) |
| *Mailing Name | |
| Primary Member | |
| Salutation | (Mr, Ms, Dr, Rev) |
| *First Name | MI |
| *Last Name | |
| Generation | (Jr, III) |
| Spouse's Name | |
| Associate Member | Person living in same household (if applicable) |
| Salutation | (Mr, Ms, Dr, Rev) |
| First Name | MI |
| Last Name | |
| Generation | (Jr, III) |
| Primary Member Info | |
| *Address | |
| |
| *City | |
| *State/Province | |
| *ZIP/Postal Code | |
| *Country | |
| *Phone | |
| Alternate Phone | |
| *Email Address | |
| *Confirm Email | |
| Birthday |
Month
Day
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| Occupation | |
| Current Bike | |
| How did you find us? | |
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| Check this box if you are on active Military Duty |
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| Check this box if you would like the dues waived because of financial hardship. Please explain in the comments section below. |
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*Yes No
| Have you completed a motorcycle safety course? |
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*Yes No
| Would you like your contact information to be included in the CSBA Hospitality List? (Your name address & phone sent to other list members that may encounter mechanical or directional problems while traveling through your home area) |
| Your Christian Walk | |
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*Yes No
| I confess Jesus Christ as my Lord and Savior |
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| *Faith Tenets | Check all elements of the CSBA Statement of Faith with which you agree. If there are any with which you do not agree, please explain in the comments section. |
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| The Bible is the unerring Word of God and our sole rule of faith |
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| The virgin birth of Jesus Christ |
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| Jesus is the only begotten Son of God |
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| Jesus lived a sinless life |
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| Jesus' vicarious death on the cross was for the sins of the world |
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| Jesus was bodily resurrected on the third day and now sits at the right hand of God making intercession for believers |
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| Jesus will come again in the future for His church |
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| Jesus is the only name under Heaven by whom we may be saved |
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| *Testimony |
Please briefly share your testimony and where you are today, spiritually.
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| *Relationship |
How would you describe your personal relationship with Jesus Christ today?
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| *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).
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| *Denomination |
Denominational Preference: If none enter "none"
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| *Comments |
Brief statement indicating your agreement with the CSBA faith tenets and any other comments you wish to make
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| Desired Local Chapter | Select your desired local chapter from the list below.
If you are undecided, select the National Chapter. |
| *Local Chapter | |
| Password | Enter a password to use for logging into member areas of the website. Letters and numbers only, no spaces or punctuation. |
| *Password | |
Permissions
Note that the member directory can only be viewed by other members. Also, even if you elect not to receive email announcements, you will still receive email notices regarding your membership status. |
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*Yes No | Show my name in the online member directory |
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*Yes No | Show my address in the online member directory |
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*Yes No | Show my phone in the online member directory |
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*Yes No | Show my email in the online member directory |
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*Yes No | Receive email announcements from CSBA |
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About CSBA
