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 [  ]

Friends of the

St. Germain ATV Club

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.