This page was last updated on: July 9, 2014
Join Us!
Fill out and sign the following form. Send with your payment to Borderline ATV Club, 1574 Van Buren Road, Caswell Maine 04750
E-mail Address

[lzenzius@maine.rr.com]

Name: ________________________________  Date: __________

Address:_______________________________________________

City/Town:______________________________________________

State:________________________ Zip Code:_________________

Phone: (__________)_____________________________________

Family Members: ________________  ATVs in Family: _________

List Family Members: (husband, wife and any dependents under 18.)

Name:_____________________________  Age: _______

Name: _____________________________ Age: _______

Name: _____________________________ Age: _______

Name: _____________________________ Age: _______

Name: _____________________________ Age: _______

Name: _____________________________ Age: _______

Dues$20.00, ($10.00 Maine.atv) Total $30.00 USD, make checks payable to Borderline ATV Club.  Membership includes membership card, newsletter and one sticker that will be mailed with next newsletter or can be picked up at next meeting.

Mail payment and signed form to: BORDERLINE ATV CLUB, 1574 Van Buren Road, Caswell Maine 04750

Email: lzenzius@maine.rr.com
Website: www.borderlineatvclub.homestead.com

The undersigned agrees to abide by all club rules, regulations and state laws pertaining to ATVs.

Signed: _______________________________________________
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