Please Mail To: Rathbun Snow Riders 12268 Parkside DR, Moravia, IA 52571

MEMBERSHIP FEES

All memberships are valid July 1st to June 30th

new member renewal member 

    Any form not legible will not be accepted.  Please print clearly.

   ______  Individual Membership  ----------------------------------------------$15.00

  ______  Family Membership ------------------------------------------------- $20.00

  ______  Trail donation. (A donation is not required, just appreciated) ------- $______

Name_____________________________________ Spouse______________________

Mailing address_________________________________________________________

Town ________________ State _______Zip ________ Telephone_________________

 e-mail (for newsletters)_________________________________ Date ______________

OFFICE USE ONLY

Check #__________ Amount Rec'd___________ Date Rec'd__________ Membership #__________

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