╨╧рб▒с>■  ■                                                                                                                                                                                                                                                                                                                                                                                                                                                   ¤   ■   ■   ■   ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Root Entry        ┬█═(т ╬вЪкJrА Ьl╧N╞└MatOST    роil╧N╞а@Лl╧N╞MM            MN0     ■   ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       ND■      ┬█═(т ╬вЪкJrMicrosoft Works MSWorksWPDocЇ9▓qMatadorObject0            а╓rl╧N╞а╓rl╧N╞CompObj            U                         QgiЛНA¤АЩ ф ц {ri`\V\r`\V\V\{  И Ш Ш  .CQlКиgiНн╛└qqggggggg]g]gg]]     р└!■ХSёёа░TЫ╨ц   /Еьар=╨/eьd     ╨ф tг O T Brettuns Wheelers ATV Club P.O. Box 673 Livermore, Me 04253 207-897-9535 ____$20.00 Single Membership ____$25.00 Family Membership ____$35.00 Supporting Business Membership All membership fees include ATV Maine Membership ( if already a member subtract $5 ) 2006 - Club Membership Application New___ Renewal___ Date___/___/___ Club Membership Year: 06/01/06 to 06/01/07 Name_______________________________________________________________________ Address_____________________________________________________________________ Town, State, Zip,_______________________________________________________________ Phone Number______________________________e-mail______________________________ Do you belong to another club ATV or Snowmobile?____________________________________ List all family members under membership Spouse______________________________________________________________________ Child1_______________________________________________________________________ Child 2_______________________________________________________________________ Child 3_______________________________________________________________________ ATV/Year/Make_______________________________________________________________ Areas of Interest: __Trail work + any equipment __Landowner relations __Safety training __Search+Rescue __Boards/Committees __Fundraising __Activities/Events __Help where needed How / where did you hear about the ATV Club? _______________________________________________________________________________ I understand that by signing this form, my membership can be discontinued at any time if the club or its officers have any reason to believe that I or any of my family operates an ATV irresponsibly so that it endangers the landowner/club relationship or if it is believed that the operator could cause harm to another individual. My membership fee is non-refundable and is intended to be used to support the club as a whole. I also agree to hold harmless the ATV Club from all liabilities resulting from my involvement with the club. Signature:____________________________________________Date:___/___/___ Meetings are held at 971 River Rd, Livermore 2nd and 4th Tuesday of every month Meetings start at 7:30pm Please come to our next meeting or mail this form to: P.O. Box 673 Livermore ME 04253 Please make checks payable to Brettuns Wheelers ATV Club /01/06 Name___________ QgiЛНA¤АЩ ф ц {ri`\V\r`\V\V\{  И Ш Ш  .CQlКиgiНн╛└qqggggggg]g]gg]]     р└!└яё>М▐.ДЖ░■MЭэя?]]]]]]]]]]]]]SS  ! Ё?AU¤ -~АЩ Ы у х  7 Q И Ц к ф ц uuuuuuuuuuukkkkkkk    ц └?ц Times New Roman Arial CAC Logo Alternate ╨╨ Еьар=╨/eьЕьар=╨/eьd