DISTRICT 36 MOTORCYCLE SPORTS COMMITTEE, INC
2024
Charter Application
Instructions: Fill this form out completely and once submitted you will be directed to PayPal to pay the appropriate fees. Once paid you will receive an email confirmation from PayPal and that is your receipt for payment.
The Fees are:
$150 Charter Fee for any club or promoter that puts on Cross Country Races
$50 Charter Fee for any club, promoter, or group that host or does not host meets other than Cross Country
$150 Security Deposit paid by each club, promoter or group chartering with District 36. This is a one time fee paid when first chartering with District 36 and once paid it is "rolled over" each year until it is refunded at such time that the club, promoter or group leaves the District in good standing.
Note: After the Sanction meeting in September a late fee of $50 is added to the above pricing. Ref: D36 Operations Manual; 1.2; paragraph 1)
Thank you for Chartering with District 36 and your support of
your
racing organization!
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=
Required
Date
*
MM
DD
YYYY
Club / Promoter Name
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Incorporated?
*
Yes
No
Number of D36 Members
*
If none enter 0
Total Number Of Members
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Mailing Address
*
Street or PO Box
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Website
Social Media Webpage
What Type Of Organization Are You?
*
AMA Chartered Club
AMA Chartered Promoter
Chartered With Non-AMA Organization
Other Club Association Group, Promoter, (non-Chartered)
What is your Organization's Parent Body?
*
Enter your AMA Charter Number
*
Enter the Name Of The Group / Association Your Organization Is Part Of
*
Enter None if not associated with any group or association
What Is Your Organization's Main Activities?
*
list all that apply
Off Road
On Road
Dual Sport
Promoter
Competition
Pleasure
Other
Key Contact Person
*
District 36 Number
Address
*
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone
*
President
*
District 36 Number
Address
*
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone
*
Secretary
*
District 36 Number
Address
*
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone
*
Treasurer
*
District 36 Number
Address
*
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone
*
Referee
*
District 36 Number
Address
*
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone
*
Legislative Officer
*
District 36 Number
Address
*
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone
*
Charter
Category
and Charter Fees
1. Select Your Category
*
Note: A $50 Late fee applies and is included when chartering after the schedules Sanction Meeting.
$200.00 Cross Country and Other Disciplines (includes $50 late fee)
$100.00 All Disciplines Except Cross Country (includes $50 late fee)
$100.00 Clubs or Groups Not Hosting Events (includes $50 late fee)
3. Are You Renewing from Last Year Or New To The District
*
(you are also new to the District if you let your past charter lapse and had your security deposit refunded)
Renewing
New
Security Deposit
*
District 36 collects and holds this security deposit and rolls it over each year you remain in the District, It will be refunded at such time that your organization leaves the District in good standing (you are not in arrears for monies owed to the District).
Price:
$150.00
Total
$0.00
