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2011-2012 MEMBERSHIP APPLICATION
SMOKI HAULERS SNOWMOBILE CLUB Membership dues include $2,500 insurance for head of household
NAME ____________________________________________________________________ NAME RELATIONSHIP DATE OF BIRTH BENEFICIARY 1 ___________________________________________________________________________ 2 ___________________________________________________________________________ 3 ___________________________________________________________________________
4 ___________________________________________________________________________
What activities would you be interested in?
Membership dues are due in September of each year Applicants signature_____________________Date_______ |