ROTTEN BASTARD APPLICATION

Applicant Information

Just "Copy and Paste" this Application and email to me... (If ya dont know how to Copy and Paste, your SAD!!!)After copying the form below just click on the "Rotten Bastard Application" below and paste it to the email>>>

   Rotten Bastard Application

Name:
Date of birth: Biker Name: Phone:
Current address:
City: State: ZIP Code:
Bike Year: Bike Make: Bike Model:
EMAIL ADDRESS:
How Long Have you Rode?: Does your ol’lady ride?: Will she fuck the Prez?:
Do you Drink Beer?: Do you Love to Fart?: Would you be willing to start a Rotten Bastard Chapter in your Town?

Add any additional information below