EVERGREEN P.A.C. ATV CLUB MEMBERSHIP
P.O. Box 98
Moose Lake MN 55767
www.evergreen-pac-atvclub.com
One Year Single/Family Membership - $25.00
($15.00 ATVAM/$10.00 Local Club) ATVAM Membership is mandatory, either current membership
or join at this time
Name________________________________________________________________ (FIRST) (LAST) (SPOUSE
/ OTHER)
Address __________________________________________________________________
(City) (State) (Zip) (County)
Phone_________________________E-Mail______________________________________
Number in Family ____ Number
of ATVs ____ Current
ATVAM member? Yes No
(Circle
One)
Amount____________ Check
# ________________ Receipt
Requested ________
ATVAM MEMBERSHIP
P. O. Box 557
Osseo MN 55369
www.atvam.com
1-800-442-8826
Name _______________________________________________________________________________
(LAST) (FIRST) (SPOUSE
/ OTHER)
Address _____________________________________________________________________________
(City) (State) (Zip) (County)
Phone _______________________E-Mail____________________________________________
Number in Family ___________ Number
of ATVs______________
Club: Evergreen P.A.C. ATV Club
Amount________________ Check
# _______________ Receipt
Requested ____________
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