Name
Address
City
State ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOMING
Zip
Phone Number
Email
Marital Status SingleMarried
Name of Spouse
Children ages 19 and younger
Number of Children
Ages
Snowmobile Model
Snowmobile WI Registration Number
This application is for: Renewal Membership ($35.00)New Membership ($35.00)Honorary Membership/Landowner (No Dues)
As a member in the Plat 5 Snowmobile Club, I agree to the by-laws and rules that govern the Plat 5 Snowmobile Club, Inc, its officers, members and trails. I also agree to donate five (5) hours of work for the benefit of the Plat 5 Snowmobile Club in accordance with its by-laws this season.
Please type your name in the field below to agree to the Plat 5 Snowmobile Club by-laws.
Signed
Membership dues include membership in the Plat 5 Snowmobile Club and in the Association of Wisconsin Snowmobile Clubs ($10.00 yearly dues).