BROOKLYN BUFFALO TROOPERS MOTORCYCLE CLUB of NEW YORK INC.

If you are interested in becoming a member of the Brooklyn Buffalo Troopers Family, use the following form to submit your information online. Alternatively, click here for the application in PDF format. Print this file and mail it to us at the address provided on our Contact page.

	Online Application
	* - required *Name: including middle initial *Your chosen biker name: *Street Address: *City: *State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip Code: *Telephone Number: - - x NUMBERS ONLY, no symbols or characters *Cell Phone Number: - - x NUMBERS ONLY, no symbols or characters *Email Address: *Age: *Emergency Contact Name: *Emergency Contact Relationship: *Emergency Contact Number: - - x NUMBERS ONLY, no symbols or characters *Background: Please give us a brief history of your background (include military service, current employment, and membership in any other motorcycle clubs): *Do you currently own a motorcycle?: Yes No If yes, the year, make, model of bike(s) (include ccs): *Years of riding experience: Numbers Only *Are you legally licensed to operate a motorcycle?: Yes No *Explain why you are interested in becoming a member of the Brooklyn Buffalo Troopers Motorcycle Club: I fully understand that the chapter colors purchased by me are the property of the NABSMC and must be returned to the chapter upon my departure regardless of reason. *Sign here: (type your full name): Entering your full name will be considered your signature for online application purposes *Image Verification: Enter the code above.

PRIVACY STATEMENT: Please be advised that your information will only be used for the purpose of evaluating you for membership into the National Association of Buffalo Soldiers/Troopers Motorcycle Club Inc.