Forms
KETTLE RANGE SNOW RIDERS
PO BOX 71 MISHICOT, WI 54228-0071
ANNUAL MEMBERSHIP FORM
Please Return This Form to the above address or drop it off at a club meeting
Meetings are held the third Tuesday of every month at The Detour Bar and Grill at 7PM
Member/Spouse Name(s): _____________________________________________________
Address: ____________________________________ Phone: ______________________
City: ____________________________ State: ___________ Zip: ___________________
E-mail(s) Address: ______________________________________________________________
How do you want to receive communications from the club?
____ Email for newsletter and all other communications.(preferred)
____ US Postal Service for newsletters and all other communications (need to include an additional $10 with dues)
Renewal_____ New_____ _____ Family ($25.00) _____ Single ($25.00)
____Renewals after December 1st please include an additional $5 due to AWSC process fees.
I will hold Kettle Range Snow Riders Club harmless from liability for (1) injury to myself and my family and (2) said member(s) negligence.
_____________________________________________________________
Signature(s) Date