2010-2011 Membership Form
September 1, 2010 thru August 31, 2011
Please Print


Membership Type:
( __ ) Single $20.00
( __ ) Family $25.00
(Family membership includes spouse & children under 18)

Note: If you belong to another club that has paid your AWSC dues, you may deduct

$10.00 and enter the name of that club: _______________________________

 Date: ______________________
Amount Enclosed: ________________
Single Member (or Member #1)
Member #2 (if a family membership)
Number of Children Ages
Address
City/State/Zip
Home Phone ( __ ) Check if you DO NOT want your number in the club roster.

Other Phone

 

E-Mail address

( __ ) Check to receive your newsletter by e-mail

Pleae make check payable to Ranger City Riders
Send completed form and payment to:
Ranger City Riders
PO Box 93
Amberg, WI 54102
For further information contact Gayle Parks at 414-559-9949
Ranger City Riders Snowmobile Club
P.O. Box 93
Amberg, WI 54102