Brettuns Wheelers Membership Application
Brettuns Wheelers ATV Club
P.O. Box 673
Livermore, Me 04253

____$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___

Club Membership Year: 06/01/06 to 06/01/07

Town, State, Zip,_______________________________________________________________
Phone Number______________________________e-mail______________________________
Do you belong to another club ATV or Snowmobile?____________________________________

List all family members under membership
Child 2_______________________________________________________________________
Child 3_______________________________________________________________________


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
f 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
nvolvement with the club.


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