2022 District 36 Charter Application – District 36

DISTRICT 36 MOTORCYCLE SPORTS COMMITTEE, INC

2023 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!
* = Required
Club / Promoter Name*
Incorporated?*
- Yes
- No
Number of D36 Members*
If none enter 0
Total Number Of Members*
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 ZIP Code
Email*
Phone*
President*
District 36 Number
Address*
Street Address City State ZIP Code
Email*
Phone*
Secretary*
District 36 Number
Address*
Street Address City State ZIP Code
Email*
Phone*
Treasurer*
District 36 Number
Address*
Street Address City State ZIP Code
Email*
Phone*
Referee*
District 36 Number
Address*
Street Address City State ZIP Code
Email*
Phone*
Legislative Officer*
District 36 Number
Address*
Street Address City State ZIP Code
Email*
Phone*
Charter Category and Charter Fees
1. Select Your Category*
- $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