invitation – Broken Chains JC

Broken Chains is for those Bikers and Motorcycle Enthusiasts that are involved in a recovery ministry or attend a specific recovery group on a regular basis. Your personal recovery comes first. Please understand this application process is only to ensure that those joining our fellowship meet the basic requirements.

***IMPORTANT*** Please be sure to give your reference (Recovery Leader / Sponsor) permission to tell us that you attend recovery meetings on a regular basis. You have to attend your recovery meetings 4 consecutive weeks prior to becoming a member.

* Riding Member

Yes

No

year/make/model of bike

* Gender

Male

Female

* First Name

* Last Name

* Email Address

* Phone

* Password

Strength: Very Weak

Address

* Country/Region

* Street Address

* State

Please select "INTERNATIONAL" if outside of the US.

* City

* Postal Code

* County

Additional Details

Additional address details

* Can we list you as a member?

Yes

No

* Recovery Leader/Sponsor/Pastor

* Recovery Leader/Sponsor/Pastor's Phone # & Email

Details

* Church

* What struggle(s) brought you into recovery?

* Do you have a written testimony

Yes

No

* Are you willing to share your testimony

Yes

No

* Broken Chains requires $10 monthly dues. Are you willing to pay monthly (or yearly)? We are transparent with our funds so if you have any questions, reach out to your local P.O.C.!

Yes

No

Hope Dealer Training Conference 25′ Invitation Cards – 50