E-Ville Riders Snowmobile Club |
Club Membership Application
Please make a copy of the application and return it with the appropriate dues to.
E-Ville Riders
1520 Elliottsville Rd
Elliottsville Twp, ME 04443
ANY QUESTIONS REGARDING MEMBERSHIP CONTACT
BEVERLY D'AMBROSIO
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E-Ville Riders Snowmobile Club Membership Application
$40.00 Business Membership including Primary Membership ( With Ad and link on club Internet web page) $30.00 Supporting Business Member ( With Ad and link on club Internet web page) $20.00 Primary Membership ( includes spouse & children under 18 ) $15.00 Associate Membership ( Before joining, Proof of a primary membership with another Maine Snowmobile club is required )
Membership must be renewed in December of each year
New Membership _____ Year__________ Renewal _______ Year__________ ( PLEASE PRINT CLEARLY )
Primary Club________________________________________________________________ Associate Clubs______________________________________________________________ Name ______________________________________________________________________ Address ____________________________________________________________________ Town ____________________________ State _________________ ZIP ________________ Date of Birth _____/_____/_____ Phone__________________________________________ Cell Phone ________________________ Email____________________________________ Spouse__________________________ Children___________________________________ Snowmobiles Year ______ Make __________________ Reg _______________________ ____________________________________________________________________________ ( Circle Areas of Interest ) Landowner Relations Trail Work & Equipment Grooming Safety Training Search & Rescue Officers Boards & Committees Fundraising Activities & Events Help where needed How / Where did you hear about the E-VILLE RIDERS Snowmobile Club? _________________________________________________________________________ I understand that by signing this form, my membership can be discontinued at any time if the Club or it's officers have reason to believe that I or a member of my family operates a Snowmobile irresponsibly so that it endangers the landowner/club relationship or if it is believed that the operator could cause harm to another individual. My membership fee is non-refundable and is intended to be used to support the club as a whole. I also agree to hold harmless the E-VILLE RIDERS Snowmobile Club from all liabilities resulting from my involvement with the Club .SIGNATURE ________________________________________________ DATE ______/______/______
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