MEMBERSHIP FORM

NEAT ATV  CLUB
Membership Form
WWW.NEATATVCLUB.COM  
Please print clearly:


Name:___________________________________________

Address:_________________________________________

 Home Phone: (_____) _____ _____

City: __________________ State: ____ Zip: _____

Email Address: ________________________________   
             Annual Membership Fee $20.00
* Add $ 15.00 for Iowa OHV Membership. {Opt.}

    Carry-in or Mail to:
             NEAT ATV CLUB
 (Check or Money Order)       c/o DAVID VAASSEN
                                            1720 Deer Path Court
                                      Hazel Green, Wisconsin  53811


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