About us

WILDFIRE MC
MEMBERSHIP APPLICATION
Please mail your completed application, along with a check or money order
for $25.oo made payable to:
Wildfire MC
100 Migeon Avenue
Torrington, CT 06790
Name:_________________________________________________________________________
Nickname:______________________________________________________________________
Street Address:__________________________________________________________________
City,State,Zip:___________________________________________________________________
Year and Make of motorcycle(s):_____________________________________________________
E-Mail Address:_________________________________________________________________
Date of birth:____________________________________________________________________
May we post photos of you at club events on our website?_________________________________
Cell Phone:_____________________________________________________________________
Home Phone:___________________________________________________________________
I agree to abide by the mission statement of the Wildfire MC, and attest to being over 21 years of age.
Signature (required)______________________________________________________________
© 1996 Wiildfire MC All Rights Reserved.