General Memberships ---Individual or Family residing at the same address, $25.00
Signed: _____________________________________________ Date: _______________________________
Please Print: _________________________________________
Please print and mail this application to us with your check for the proper amount to:
St. Germain ATV Club Inc.
PO Box 161
St. Germain WI 54558.
Memberships are valid for one year from May 1st through April 30th. Please print your information clearly to make sure your membership is activated. If we cannot read it, we cannot register you. Carefully read and fill out ALL the sections on this form that apply before signing. Type your paragraph here.
Name: _____________________________________________________________________________
Mailing Address: ______________________________________________________________________
City: ___________________________________________________________________________
State: _________________________________Zip Code___________________________________
Email Address: _______________________________________________________________(Required)
Phone Number: Home:________________________ Cell: ______________________________________
Vehicle Make: _____________________ Model: __________________ ATV [ ] UTV [ ] (Required)
Please check if you can help with club activities: Club Ride [ ] Officer/Board Member [ ] Trail Cleanup [ ] Scavenger Stampede [ ] Raffles [ ]
Donate Raffle Prizes [ ] Signing Trails [ ] Committees [ ] Safety Patrol Program [ ]
Individual/Family Membership $25.00 [ ] $_____________
Donation: $_____________
Total Enclosed: $_____________
Business Membership: Includes Business Membership - $40.00.
Business Sponsor - includes Business membership, your business information on the club website, and a business card sized advertisement on our ATV Club map - $150.00. For a double sized map ad the cost is $200.00. For larger sized ads please call us for more information.
Dues Structure:
Business Member $40.00 [ ] (Do not check if purchasing a map ad) $_____________
Map Ad (Includes Business Membership) $150.00 $_____________
(Please include a camera ready or printable proof of your ad)
Double Map Ad $ 200.00 $_____________
Donation: $_____________
Total Enclosed: $_____________
If a returning Business Sponsor: Please use my map ad that was on the club map last season. Please Check [ ]
Before signing please read carefully:
I the undersigned do hereby agree to abide by all of the club rules and by-laws. I/we understand the risk of injury while participating in ATV/UTV events sponsored by the St. Germain ATV Club Inc. or on my own. I understand the St. Germain ATV Club Inc. cannot assume responsibility or safety of me and family members or my passengers if I/we participate in any St. Germain ATV Club Inc. sponsored function. If I/we participate in any St. Germain ATV Club Inc. event I/we do so voluntarily on my assessment of the conditions of machines, and abilities of skills. I further understand that I assume all risks for myself, my passenger, and my property and agree to hold harmless all officers, directors, members and representatives from any liability loss, damage, costs, claims, or lawsuits including but not limited to bodily injuries or death. I/we agree to participate in fund raising events or raffles. All members must be 18 years of age or older to join the St. Germain ATV Club Inc.