Membership Application

 

Thank you for your interest in joining the Gray SnoWolves. New members are always welcome.

 

Membership Dues are the following:

  • $25 Family Membership
  • $35 Business Membership
  • Additional insurance can be purchased for $2 for each additional person.

 

 

Please take moment and complete the following information:

 

Name: ________________________

 

Address: _______________________

 

Phone: _________________________

 

Email: _________________________

 

Date of Birth for Primary Member: __________

 

Beneficiary’s Name: ______________________

Names & Dates of Birth of Family Members (if you choose the purchase additional insurance)

 

 

 

Membership Dues:                                                      $________

Additional Insurance at $2 ea (optional):                      $________

Donation:                                                                    $________

Total Enclosed                                                            $________

 

 

Please Make Checks Payable to the Gray SnoWolves

 

Applications can be mailed to:

Gray SnoWolves Snowmobile Club

PO BOX 1091

Gray, ME 04039

 

Questions? Kim Shelley 428- 3244

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Gray SnoWolves,
Oct 8, 2010, 11:43 AM
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