To join Abate and help protect your Biker Rights print this
application out and mail along with your check to:

ABATE - Southeast Florida Chapter
P.O. Box 292693
Ft Lauderdale, Florida 33329

You may join any Florida chapter you wish of course we hope you will choose the South East Chapter.
 

Please fill out completely

Date _______________________________

First Name _________________________Last Name_______________________________

Address _______________________________________________

City _______________________________________________

State ____________ Zip +4_______________________ Phone ______________________

Roadname ______________________ Email Address _________________________________

Are you a registered voter? (circle one) Yes ___ No ___

I wish to join ABATE, enclosed is:

_______ $150 Life Membership

_______ $20 Annual Membership

_______ $10 to $20 for ABATE Southeast Chapter T-Shirts

_______ $30 ABATE Southeast Chapter Large Back Patch

_______ $11 ABATE Southeast Chapter Small Patch

_______ Total of Check being Sent

Which Chapter do you wish to be assigned to?

Southeast Chapter - YES or NO

Other Chapter - ____________________

Mail this application with your check to:

ABATE - Southeast Florida Chapter
P.O. Box 292693
Ft Lauderdale, Florida 33329