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Application for Trailblazers' Membership |
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Richmond Trailblazers Snowmobile
Club: Application for
Membership 2009-2010 Date___________ To the officers and members: I, the undersigned, hereby petition for membership in the Richmond Trailblazers Snowmobile Club. If accepted, I agree to conform and abide by the constitution and by-laws of this organization. Name__________________________Signature_________________________ Spouse_________________________Signature_________________________ Present Address___________________________________________________ ________________________________________________________________ Home Phone(_____) ___________________________Daytime Phone(___)________________________ Please PRINT your email address clearly ___________________________________ To ensure receiving club emails email your address to Maggie funnyfarmer@wonderwave.net Children (ages 18 and under) Name and age____________________ Name and age____________________ Name and age____________________ Name and age____________________ Number of snowmobiles owned________ I, the undersigned, hereby declare that I
have snowmobile insurance with the following company Insurance Company________________________________________________ Address__________________________________________________________ Policy
#__________________________________________________________ How did you hear about the Richmond Trailblazers? (Newspaper, Magazine, referral, etc.)
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This page was last updated 09/27/09