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<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=168 BGCOLOR="#000000" TEXT="#F7F7FF"> <bR> <bR> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="129" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 70 ><NOBR><div> <A HREF="id17.htm" TARGET="_top" TITLE="Renegaydes main"><U><IMG SRC="14373400.gif" border=0 width="115" height="64" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 70 ><NOBR><div> <A HREF="id28.htm" TARGET="_top" TITLE="Calander of Events"><U><IMG SRC="15373400.gif" border=0 width="115" height="64" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 70 ><NOBR><div> <A HREF="id29.htm" TARGET="_top" TITLE="Members"><U><IMG SRC="10c73400.gif" border=0 width="115" height="64" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 70 ><NOBR><div> <A HREF="id30.htm" TARGET="_top" TITLE="pictures"><U><IMG SRC="15573400.gif" border=0 width="115" height="64" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 70 ><NOBR><div> <A HREF="id32.htm" TARGET="_top" TITLE="Links"><U><IMG SRC="15673400.gif" border=0 width="115" height="64" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </NOBR></tD> </tR> </TABLE></div> <bR> </td> <td valign="top" BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <I><B> </B></I></div> <div> <B>DUES INFORMATION</B></div> <div> <B><U>APPLICATION FEE</U></B><B>:</B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> $????0 and </B></FONT><B><U>is refundable</U></B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> should you not become a full member.</B></FONT></div> <div> <FONT SIZE="2" COLOR="#FF0000" FACE="Arial" ><B><U>Full Membership Applicants:</U></B></FONT><B>  The  Applicant will spend 3 (three) months  in an acquaintance / Pledge period   so that he or she can get to know  the club members  and its purpose. Once your member- ship has been approved, monthly dues of  </B><FONT SIZE="2" COLOR="#FFFF33" FACE="Arial" ><B>$10.00 </B></FONT><B> per  month are incurred and payable  during the monthly club meeting.  Full members  in good standing have voting privileges and may hold office.</B></div> <div> <B><U>Associate Membership Applicants</U></B><B>:</B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> upon approval of your application, yearly dues of </B></FONT><FONT SIZE="2" COLOR="#FFFF33" FACE="Arial" ><B>$25.00</B></FONT><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> are incurred  and payable once  a  year during the club anniversary  in  November.  Dues cover the  year from November  to October. Associates in good standing maintain the right to wear an associate's patch, but do not have the right to vote or hold office.</B></FONT></div> <div> <B>DUES ARE SUBJECT TO CHANGE WITHOUT NOTICE</B></div> <bR> <bR> <div> <B>DISCLAIMER</B></div> <div> <B>Membership is open to all persons regardless of race, color, creed, gender, sexual orientation, or handicap who is at least 21 years of age. By sending this application, I certify that I am at least </B><FONT SIZE="2" COLOR="#FF0000" FACE="Arial" ><B>21</B></FONT><B> years of age and that the information supplied is true and accurate. I will not hold The Renegaydes L/LC , its members or associates liable for anything incidental or consequential and will abide by all club bylaws and rules of conduct. </B><FONT SIZE="2" COLOR="#FFFF33" FACE="Arial" ><B>Failure to comply will be terms for removal from the club.</B></FONT></div> <div> <I><B> </B></I></div> <bR> <div> <I><B>Online Application</B></I></div> <bR> <div> <I><B>You are only moments away from joining these </B></I><FONT SIZE="5" COLOR="#FFFF33" FACE="Andy" ><I><B>Bad Ass Boi's</B></I></FONT><I><B> of </B></I><FONT SIZE="5" COLOR="#FFFF33" FACE="Andy" ><I><B>Leather</B></I></FONT><I><B>. </B></I><I><B>Please make sure to fill out the form </B></I><FONT SIZE="5" COLOR="#FF0000" FACE="Andy" ><I><B>completely</B></I></FONT><I><B> , we need all this information in order to service your request. </B></I></div> <div> <I><B>Thankyou !!</B></I></div> <bR> <div> <I><B> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="164" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 78 ><NOBR><div> <I><B> <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Name,Date of birth,Mailing address,City,State,Zip code,Telephone,Email,Reasons for joining,what do you have to offer our club,Hobbies and intrests,Applying for full membership ?,Comments or other information you would like to tell us...,Emergency contact person"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your intrest in Renegaydes.Once we have recieved and reviewed your online application you will recieve further instructions via e-mail or Postal mail. Thanks again (Renegaydes-webmaster)"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="Renegaydes online app. submitted"><input type="hidden" name="tlx_EmailTo" value="Renegayds@yahoo.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name:<br> <input type="text" name="Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Date of birth:<br> <input type="text" name="Date of birth" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Mailing address:<br> <input type="text" name="Mailing address" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="10" maxlength="20"></td> </tr> <tr> <td align="left">Zip code:<br> <input type="text" name="Zip code" size="15" maxlength="8"></td> </tr> <tr> <td align="left">Telephone:<br> <input type="text" name="Telephone" size="20" maxlength="15"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="25" maxlength="100"></td> </tr> <tr> <td align="left">Reasons for joining:<br> <input type="text" name="Reasons for joining" size="80" maxlength="500"></td> </tr> <tr> <td align="left">What do you have to offer our club:<br> <input type="text" name="what do you have to offer our club" size="80" maxlength="500"></td> </tr> <tr> <td align="left">Hobbies and intrests:<br> <input type="text" name="Hobbies and intrests" size="80" maxlength="500"></td> </tr> <tr> <td> <input type="checkbox" name="Applying for full membership ?" value="yes"> Check this box if you are wanting full membership</td> </tr> <tr> <td align="left">Comments or other information you would like to tell us...:<br> <textarea name="Comments or other information you would like to tell us..." rows="10" cols="40"></textarea></td> </tr> <tr> <td align="left">Emergency contact name and number:<br> <input type="text" name="Emergency contact person" size="50" maxlength="500"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </B></I></div> </NOBR></tD> </tR> </TABLE></B></I></div> <bR> <bR> <div> <I><B> </B></I></div> <bR> <bR> <bR> <div> <I><B> </B></I></div> <bR> <div> <I><B>     </B></I></div> </td> </tr></table></body>