Membership Application — Honda Goldwing Trikes International

Applicant Information

Full Legal Name*

Preferred Name / Road Name

Email*

Phone*

Country*

State / Province / Region*

City*

Your Rig

Honda Model*

Year*

Trike Conversion Brand

Color

Photo of Your Rig

Optional. If a large photo won't upload, you can post it in our Facebook group instead.

Riding Background

Years Riding

Years Riding a Trike

Current or Former Club Affiliations

How Did You Hear About Us?

Membership Details

Membership Type*

Co-Rider Name (only if applying two-up)

Sign me up for the newsletter and ride alerts.

Emergency & Community (optional)

Emergency Contact Name

Emergency Contact Phone

I'd be willing to help out at events and rides.

Agreements

I have read and agree to the club bylaws and code of conduct.*

I acknowledge the liability waiver for club rides and events.*

I consent to the club featuring photos of my rig that I submit.*

Digital Signature (type your full name)*

Date*

Your information is sent securely to our membership team and is never shared.