Haynesville Woods Trail Riders A.T.V. Club

MEMBERSHIP APPLICATION
____$25.00 Primary Membership (includes spouse, children under 18 and single membership
_____$35.00 Supporting Business Member (contact the club for more info)

Membership is due in May of each year
NEW____RENEWAL____CARD ISSUED Y___N___
Please Print Clearly:

Are you a member of ATV Maine through another club? __Y__N
If yes, which club?_______________________________________________________________________

Name:_________________________DOB:_______Address:_____________________________________

Town/State/Zip:_______________________________________________Phone:____________________

Email:________________________Spouse:____________________DOB:_________________________

Children:_____________________DOB:______________Children:___________________DOB:_______

Children:_____________________DOB:______________

Areas of interest:_____ Trail Work & any equipment___________________________________________
___Landowner Relations____Rides____Boards/Committees____Fund-raising____Officers
___Activities/Events____Help where needed

How/where did you hear about HWTR ATV Club?_____________________________________________

In signing, I agree to obey all club rules, regulations, and all State and Federal Laws, and respect the
right of all landowners.

Signature:__________________________________________Date:____/____/____
Monthly Meetings are held the Third Thursday of each month @ 6:00pm at the Haynesville Town Office.
16 Danforth Road, Haynesville, ME 04497
Please come to our next meeting or mail this form to:
Norma Malone, 3192 Military Road, Haynesville, ME 04497
Please make checks payable to: Haynesville Woods Trail Riders A.T.V. Club
TREAD LIGHTLY AND RIDE SAFE
ON PUBLIC AND PRIVATE LANDS
PLEASE STAY ON MARKED TRAILS
REMEMBER Maine has a tough OUI Law!!!!!
www.haynesvillewoodsatvclub.com