Membership Enrollment
American Dresser Association®, Inc.
FL Series Harley Davidsons Only
With Windshields & Saddle Bags

Please Print
Name:                                                  Name Tag To Read:                                                  .
Address:                                    City:                          State:                           Zip:                 .
Home Phone:(    )                  Work: (    )                        I have been riding for              Years
Model Harley You Ride:                                                                                                       .
Optional Information:
Age:            Occupation:                                                 Title                                               .
e-mail Address:                                             Spouse's Name:                                               .

- This is a Release, Read it Before Signing -
I also agree that the ADA, the officers and members of the ADA shall not be liable or responsible for damage to property or any injury to persons including myself  during any ADA activities, even where the damage or injury is caused by negligence (except willful neglect). I understand and agree that all ADA members and their guests participate voluntarily and at their own risk in all ADA activities. I release and hold the ADA, ADA officers and members harmless for any injury of loss to my person or property which may result therefrom. Understand that this means that I agree not to sue the ADA, its officers or members, for any injury resulting myself or to my property in connection with any  ADA activities. 

- For California Residents -
I further agree to waive all benefits flowing from any California stature or the statute of another state which would otherwise limit the scope of this release and indemnification, including but not limited to Section 1542 of the California Civil Code which provides:

"A general release does not extend to the claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known to him must have materially affected his settlement with the debtor."

By signing this Release, I certify that I have read this release and fully and understand it and that I am not relying on any statements of representation of anyone released thereby. I further certify that I hold a valid motorcycle operators license as issued by the State of my residence and I am insured by not less than the minimum required by the State of my residence or will be a passenger only.


Signature:                                                                        Date:                             .

New Full Membership $30.00                 Renewal Membership $20.00
Make checks payable to "American Dresser Association" and mail to:
American Dresser Association, P.O. Box 2652, Fullerton, CA 92837-2652

For Association use only:


Approval Signature:                                    Date:                   Anniversary Date:                    Number           .

(Not Required) Recruiters name:                                                Date:                 ADA number                      .