MEMBERSHIP APPLICATION
WESTERN MAINE ATV CLUB
P.O. BOX 132 WILTON, ME 04294
Visit our website at http://members.tripod.com/westernmaine/index.htm
DUES: $2O.OO INDIVIDUAL $20.00 FAMILY $25.OO DEALER
DATE: ____________________________ NEW MEMBER: _______________ RENEWAL: ____________ 
NAMES: ________________________________________________________________________
ADDRESS: ______________________________________________________________________ 
CITY: ___________________________ STATE: _____________ ZIP: _________________ 
EMAIL ADDRESS: _________________________________________________________________
(Because of high printing and postage costs anyone wishing to receive their newsletter by email please provide email address).
Are you currently a member of any other ATV Club? YES  NO
If so, do you consider Western ME ATV Club your primary club? YES  NO
What are the names of the other clubs? _____________________________________ 
Are you currently a member of ATV ME through another club? YES  NO
Areas ridden: _____________________________________________________________________
AVAILABILITY FOR COMMITTEE WORK (Y/N): ______ PHONE #: __________________________
IF AVAILABLE WHICH COMMITTEE WOULD YOU BE AVAILABLE FOR:
PLEASE CIRCLE
(A) TRAILS (B) BRIDGES (C) FUND RAISERS (D) NEWSLETTER  (E) RIDES (F) SAFETY CLINIC (G) PUBLIC RELATIONS 
(H) EQUIPMENT DEMOS (I) OTHER
In signing, I promise to obey all Association rules, regulations and all State and Federal laws, and respect the rights of all landowners.
WESTERN MAINE ATV ASSOCIATION
Signature: ____________________________________