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Green County ATV Club Membership Form Name:_____________________________________________
Spouse Name_______________________________________
Address____________________________________________ City, State,Zip_______________________________________ E-Mail________________________________ Date_________ Phone___________________ Cellular____________________ Children’s Names Age:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Yearly Single Membership: $20.00____ Yearly Family Membership: $25.00____
Make check payable to: Green County ATV Club & mail check with form to: Green County ATV Club, N861 Brunkow Road, Juda, WI 53550-9503 Website: www.greencountyatvclub.org
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