Aid to Injured Motorcyclists

Sign Up for an AIM Card

Please fill out the form below to join over 100,000 other riders in our free AIM Program

First Name, Middle Initial, Last Name:




Zip Code:



Email Address:

Would you like to subscribe to our E-Cycle Newsletter?

Yes No


Blood Type:


Medications Currently Taking:

Medical Problems:

In Case of Emergency Notify:

Emergency Contact Phone Number:

Would you like to join National Coalition of Motorcyclists?

Yes No

Would you like to join the National Sport Bike Association?

Yes No

Would you like to join Christian Unity?

Yes No

Shop Owners: Would you like to join our Independent Shop Program?

Yes No

Questions or Comments:

Now Available: NCOM Pins, Patches and Stamps

All money from will go directly toward fighting adverse motorcycle legislation.

Go to Form