Mount Moosilauke ATV Club
P.O. Box 23
Warren, NH 03279
603-764-5541

Membership Form

 

Name:__________________________________________________________________

Mailing Address:__________________________________________________________

Street Address if different:__________________________________________________

City/Town:______________________________State____________Zip Code:________

Email Address:___________________________________________________________

Phone:_________________________Local Phone:______________________________

                                                               (if different)

______Single Membership $15.00 ______ Family Membership $20.00

Additional Donation $____________Total Amount Enclosed $ _________________

Make check payable to Mount Moosilauke ATV Club

In order for the Club to offer events, we need members to help out. Please consider helping out at our events.

Check off events that you would be willing to help with.

Participate in Parades____Fund Raising____Organizing Rides______Trail Work______

Cookout/Picnic_____Selling Raffle Tickets_______

I won’t be able to help at Club activities, but would like to help with a donation of $____