**PLEASE NOTE: By submitting this application, you are joining ABATE of OHIO, Inc. NO refunds will be made by ABATE of Ohio, Inc. for those who intended to join another states ABATE or any other MRO. By submitting this application to ABATE of Ohio, Inc., you will become a full member, and as such, will have all rights and privileges of membership in our organization. IF YOU WANT TO BE A MEMBER OF ABATE IN ANY OTHER STATE OTHER THAN OHIO, PLEASE DO NOT SUBMIT THIS FORM. SIMPLY GO TO THE NATIONAL LINKS PAGE, LOOK FOR THE LISTING OF THE STATE MRO YOU WANT TO JOIN AND NAVIGATE TO THEIR WEBSITE. (Go to the National Links page by Clicking Here)
Please use the Print Command on your browser to print this form. Fill it out, and mail it to the address below:
ABATE OF OHIO, INC.
$ 25 Single $40 Couple
Please Print Clearly DATE: _______/_____/_______
A: Name: __________________________________ Birthday: _____/___/______________
Type of Motorcycle: ______________________________
B: Name: __________________________________ Birthday: _____/___/______________
Type of Motorcycle: ______________________________
Address: __________________________________________________________________
Bldg. Or Apt. No.: _______________________________
City: ____________________ State: ________ ZIP: _____________ County: ___________________
Phone: ( ) ____________ --______________ Your Email: _______________________________
Spouses Email: _______________________
(PLEASE CHECK BOXES THAT APPLY)
RENEWAL NEW MEMBER SINGLE COUPLE
REGISTERED VOTER? A: YES NO
B: YES NO
LICENSED MOTORCYCLIST? A: YES NO
B: YES NO
ARE YOU INTERESTED IN INFO ABOUT A MOTORCYCLE SAFETY PROGRAM?
A: YES NO
B: YES NO
APPLICATION TAKEN BY: Region 6 Web Site