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Street/Box No. ________________________ City _________________________________ State _____ Zip ________________Phone _______________________________ Occupation ___________________________Other Clubs/Associations _______________________________________________________ _____________________________________________________________________________ FAMILY INFORMATION (if applicable): (names and birthdates) Spouse (first name) _______________________ Children_______________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ I agree to abide by the Bylaws, Regulations, and Rules of the Petoskey Snowmobile Club and hereby make application for (individual) (family) membership.
Date Signature of Applicant
CLUB ACTION: Membership Committee: Date: _________ Recommendation ______________ Initials: ______ Membership: Date: ________ Approved ( ) Disapproved ( ) Secretary’s Initials: _______ Treasurer: Date: ________ Fees Paid: Dues _____ Initiation: N/A Total: ________ Secretary: Date entered on rolls __________________
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