Honda Rider's Club of America Membership Form
Yes!
I want to join the Honda Rider's Club of America. I understand that my $39.95 annual fee covers my Honda motorcycle, ATV or scooter.
Name
(Please print)
Address
City
State
Zip
Phone
Age
Male
Female
Model
Purchase Date
Honda Vehicle Identification Number
(Required - 17 digits)
Associate Membership*
Please also enroll the following person as an Associate Member of the Honda Rider's Club of America for just $15, and send the individual Membership Kit. I understand that the person named below qualifies for this special rate and benefits as long as I am a Member in the HRCA. *Associate Members are not eligible to receive MSF/SVIA course reimbursement and emergency travel expense reimbursements. Associate Membership runs concurrently with Primary only.
Associate Name*
City
State
Zip
Phone
Age
Male
Female
I prefer to pay by:
Check
(enclosed and made payable to Honda Suzuki North)
Automatic Renewal Option
- I prefer the convenience of having Membership dues billed to my credit card automatically each year hereafter. I am free to cancel at any time.
VISA
MasterCard
American Express
Discover
Card number
Exp. date
Signature
(Do not print)
To join HRCA simply print, fill out and mail this form, with your check or credit card information, to: Honda Suzuki North, 11434 Stemmons, Dallas, TX 75229. If paying by credit card, you may prefer to call 972-241-4623.