Skip to content
In God We Trust and Ride!
Menu
About
Patches
News
Contact
Shop Now
Bulk Ordering
About
Patches
News
Contact
Shop Now
Bulk Ordering
Bulk & Custom Order Request Form
First Name
*
Last Name
*
Phone
*
Email
*
Order Request Details
*
CAPTCHA
Motorcycle Program
Motorcycle Program
KofC Member
Name
(Required)
First
Middle Initial
Last
Spouse Name (Optional)
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone #
Cell Phone #
(Required)
Email
(Required)
Diocese Name
(Required)
Parish Name
(Required)
KofC Council Number
(Required)
Current Grand Knight
(Required)
Are you a 4th degree member?
(Required)
Yes
No
Assembly #
(Required)
Do you own a street motorcycle?
(Required)
Yes
No
Do you have an endorsement?
(Required)
Yes
No
Do you have insurance?
(Required)
Yes
No
Are you in good standing with your parish and council?
(Required)
Yes
No
Signature
(Required)
Date
CLOSE
Scroll To Top