(Please Print, Type or Word Process)
This is a sample of the type of information that you would furnish and have available from other members. To apply you you should contact Tom at BikeShare
(for office Use) #K _____ CK ____ DL _____ PW _____ Access ____ DATE: ________________ LAST NAME: __________________________________________ FIRST NAME: __________________________________________ DATE OF BIRTH: _______________________________ STREET: _____________________________________________ CITY: ________________________________________________ STATE or PROV.: _____________________________________ POSTAL CODE: ___________________________ COUNTRY: _____________________________ HOME PHONE: ___________________________ DAY PHONE: ____________________________ FAX NUMBER: ___________________________ INTERNET ADDR. ______________________________________________________ MOTORCYCLE INFORMATION #1 #2 MAKE ______________________ MAKE ______________________ MODEL _____________________ MODEL ______________________ YEAR ______________________ YEAR _______________________ CCs ______________________ CCs _______________________ MILEAGE ___________________ MILEAGE ____________________ ACESSORIES AVAILABLE TO USE: ________________________________________ _____________________________________________________________________ HOW MANY BIKESHARES HAVE YOU DONE AND WHERE? ________________________ _____________________________________________________________________ WHAT COUNTRIES HAVE YOU DRIVEN OR RIDDEN IN? _______________________ _____________________________________________________________________ NUMBER OF YEARS RIDING EXPERIENCE: ___________________________ AVG. ANNUAL MILES: __________________________________________ RIDER EDUCATION AND LICENSING (check all that apply) REQUIRED MOTORCYCLE TEST ______ MSF-RIDING & STREET SKILLS ______ HAVE CURRENT M/C LICENSE ______ MSF - EXPERIENCED COURSE ______ MILITARY MOTORCYCLE COURSE _____ OTHER PRIVATE M/C SCHOOL ______ NAME: ____________________________ BikeShare PREFERENCES WHEN DO YOU WISH TO LOAN? (check all that apply) JAN____ FEB____ MAR____ APR____ MAY_____ JUN____ JUL____ AUG____ SEP____ OCT____ NOV_____ DEC____ MAXIMUM LENGTH OF LOAN: WEEK(s) _______________________ AGE PREFERENCE TO LOAN TO: 25+ ____ 30+ ____ 35+ ____ NO PREF. ____ WHEN DO YOU WISH TO BikeShare? JAN____ FEB____ MAR____ APR____ MAY_____ JUN____ JUL____ AUG____ SEP____ OCT____ NOV_____ DEC____ HOW LONG DO YOU WISH TO BikeShare? WEEK(s) _____________ BRAND PREFERENCE: Honda _____ Suzuki _____ Yamaha _____ Kawasaki _____ Harley _____ BMW _____ Moto-Guzzi _____ No Pref. _____ WHAT COUNTRIES DO YOU WISH TO TOUR? 1. _____________________ 2. _____________________ 3. _______________________ 4. _____________________ 5. _____________________ 6. _______________________ WILL YOU BE TRAVELING: SOLO __________ TWO-UP ____________ PERSONAL INFORMATION (Tell us anything and everything that would help other Trans-Atlantic BikeShare members get a feel for who you are. Items you could Include are hobbies, occupation, family info., pets, motorcycling interests, touring suggestions for your country, or ?? Attach additional pages if needed) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ LOGISTICAL INFORMATION: (give a general description of your location and your relationship to local or regional airports. For example: Located 25 miles north of Anywhere Airport. 100 Miles for XYZ Major airport, live in the northern suburbs of Middlecity, Ohio, USA. Can pick up from Airports listed. Train and bus service available from Other city Metro, JFK and Big City Airport) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ TOURSHARE INFORMATION - optional I WANT TO BE A TourShare MEMBER YES _____ NO ______ (no additional fees) As a TourShare member you are indicating that you would help other members with any of the following that you checked when possible. RS= Roadservice _______ LI = Local Information _______ ES = Emergency Storage _______ RP = Route Planning _______ BS = Bed Space _______ TP = Touring Partner _______ I FOUND OUT ABOUT T.A.B.S. THROUGH? (check all that apply) BMWMOA ____ T.A.B.S. MEMBER ____ W.O.W. ____ AMA Mag. ____ CLASSIC BIKE ____ TOUR RIDER ____ RALLY ____ INTERNET ____ TRADE SHOW ____ WORLD WIDE WEB ____ Other _____________________________ WHAT ITEMS WOULD YOU LIKE TO SEE COVERED IN THE T.A.B.S. MONTHLY NEWSLETTER? _________________________________________________________________________________________ _________________________________________________________________________________________ WOULD YOU BE INTERESTED IN CONTRIBUTING INFORMATION ABOUT YOUR BIKESHARE EXPERIENCE(s) TO THE NEWSLETTER? (Y/N) ___________________ REMEMBER TO ENCLOSE A PHOTOCOPY OF YOUR DRIVER'S LICENSE I understand the information I have supplied will be forwarded only to other T.A.B.S. members
upon their request. I also agree that I will not share the information of other TABS
members with none TABS members. Arranging BikeShares with information from TABS for none TABS
members is a direct violation of policy and can result in a lifetime loss of membership privilages and fees.
The information I have supplied is accurate. Participation in a BikeShare with another T.A.B.S.
|member is at my discretion and is done so at my own risk. Additional use of this information by T.A.B.S., or its members would require my permission. SIGNED ____________________________________ DATE _____________________ 1. Send a copy of your driver's license along with your application 2. Send a check or money order for $50.00 U.S. along with your application