APPLICATION FOR MEMBERSHIP

KETTLE MORAINE RIDERS SNOWMOBILE CLUB

FIRST NAME

LAST NAME

STREET ADDRESS

CITY

STATE

ZIP

PHONE

EMAIL 1

OCCUPATION

SPOUSE NAME

OCCUPATION

EMAIL 2 NAMEE MAIL 2

Membership includes all children under the age of 18

CHILD 1

CHILD 2

CHILD 3 NAME

CHILD 4

CURRENT SNOWMOBILE INFORMATION - MAKE(S) AND YEAR(S)

HAVE YOU BEEN IN A SNOWMOBILE CLUB BEFORE?

HOW DID YOU HEAR OF OUR CLUB?

By digitally signing below I declare my answers to the questions on this application are true to the best of my knowledge and belief. I understand that as a member of the Kettle Moraine Riders of Eagle, WI, I will be expected to abide by the club rules and take an active part in the club activities and functions whenever possible. I also understand that when operating a snowmobile I will do it in such a manner that I will always be a credit to the club and the sport of safe snowmobiling.

MEMBER 1

E

MEMBER 2

DATE

DATE

AME

Membership dues are $30.00 per year and are payable at the first club meeting or by PayPal on our website at http://www.kmrsnowmobileclub.com/pay%20dues.html