Richmond Triumph Register
Membership Renewal/Application
(Print
out this page, fill out and mail to address at bottom)
Name______________________________________________
Street______________________________________________
Phone ( ____)____________
City________________________________________________
State_______________ Zip__________________
E-mail Address______________________________________
Notify the web master to add me to
the RTR e-mail distribution list
Triumphs owned:
Model_________________ Year________ Series__________ Comm #_________________
Model_________________ Year________ Series__________ Comm #_________________
Richmond Triumph Register Club Membership
$20 per year with Electronic Spokes (include e-mail address)
$30 per year with Mailed Paper Spokes
Make Check or Money order payable to RTR
NEW
MEMBERSHIP
RENEWAL
Return this completed application to:
Jim Scherer, RTR Treasurer
15618 Moss Light Place
Moseley, VA 23120