South Louisiana Trailblazers

South Louisiana Trailblazers Riding Club Inc.

Online Credit Card Application

Read Notice:

All new members and re-new application can be process online. No paper work to print out, no stamp or envelope to mail. Saving you time and money. If you don't want to pay for your membership with a credit card you can mail in your application. You will need Acrobat Reader to print out and mail your application.

Name *
Date of Birth (MM/DD/YYYY)
**Address ***
Address 2
City *
State *
**Zip Code ***
# of ATV or Dirtbike in the family
Phone (include area code) *
Email
Type of ATV or Dirt Bike
Types of membership: * Family membership $ 25.00 Individual membership $ 25.00 Details of each type click here. Corporate membership $ 100.00 Corporate membership $ 200.00	1 1 1 1 1 . . . . .
Please read	Waiver Please Read Carefully Before Signing! I undersigned apply for membership in the South Louisiana Trailblazers Inc. and do hereby agree to abide by all of the club rules and by-laws. I also acknowledge the risk to myself and family and property while participating in club events. I will rely on my own judgment and ability while participating in all club events and assume all risk of injury or damage arising out of such participation. I fully understand the sport of ATV and dirt bike riding can be dangerous and involves the risk of injury or death. I do understand that wearing protective gear will reduce my risk. I will not sue or make claim whatsoever against the South Louisiana Trailblazers Inc., Its members or to any organizers of club events as a result of such participation.
Signature: (Please type your full name is this space) (*)
Referred by: (Please type in the name)

All Information with the (*) must be filled out.

You can also Join the Trailblazers using our on-line application and mail this application to the South Louisiana Trailblazers. Click here to get your application.

You will need Acrobat Reader to print out and mail your application.

This on-line application has 3 parts that must be completed.

1.Your Membership Application.
2.You Membership Confirmation Screen.
3. Make your payment at PayPal using your credit card information.