Christian Motorcyclists Association
Changing the world, one heart at a time.
MEMBER INFORMATION
Name ______________________________________________________________________ CMA # __________________ Phone Number ______________________________________ Address ____________________________________________________________________ City, State, Zip _______________________________________________________________ Email _______________________________________________________________________
$ ___________ General Donations
DONATIONS
$ ___________ Iron Mountain $ ___________ Run for the Son $ ___________ Calendar & Decal Special [$ 20 ] $ ___________ Sales Tax [* Please see notice ] $ ___________ TOTAL ENCLOSED
* Sales tax applies to the following states: AL, AR, FL, GA, IN, IL, KY, LA, ME, MD, MI, MN, MS, NE, NV, NC, ND, OK, PA, RI, WV
General donations of $ 7 or more / month or $ 84 or more / year qualify you as a Seven Soldier. See your state leadership team for details on this. Donations of $ 365 or more / year qualify you for CMA365.
AUTHORIZATION FOR BANK WITHDRAWAL OR CREDIT CARD CHARGE:
$ 20.00 for the calendar and decal when you select this 2026 Goodies Bundle.
RECURRING GIFTS
Signature ________________________________ Date ___________
o Bank Withdrawal: o 11th or o 25th Routing Account
o Card: o 3rd or o 18th( If no date selected, charge will run on the 18th.) o Visa o MasterCard o Discover
Exp.
– – – CVV
( If no date selected, withdrawl will be on the 11th.)
RECURRING GIFTS
General Donations $ ________________
Run for the Son $ ________________
TOTAL MONTHLY DONATION
$ ________________
ONE-TIME GIFT o Check o Card: o Visa o MasterCard o Discover
Exp.
– – – CVV
National / International Support Center
PO Box 9, Hatfield, AR 71945 870-389-6196, cmausa. org