High Mountain ATV, Inc.  2008 Membership Form
Back to Home Page

Name: ____________________________ Date : ________________

New ( ) or Renewal ( )

Address: _______________________________________________________

City: _____________________State: ____________ Zip: _________

Telephone: ( _____ )________________ E-mail: __________________________

Type of Membership desired:

( )  Individual:        $15
( )  Family:             $20
( )  Business:        $35

If Family Membership, please list the members of your family who live in your household:

________________________________________________________________________

If Business Membership, please enclose your business card. Thank you.

Funds Attached: $__________________

NOTE: Dues are on an annual basis with a due date of January 31st. 

Dues for new members that are posted after October 1st include the following year.

Your Signature: ___________________________________ Date: _______________

If new member is under the age of 18, a parent or guardian must also sign below.

Parent/Guardian: ____________________________________ Date: _______________

If your membership is the result of efforts by a current member,
please let us know who we should  give credit to:

_________________________________________

High Mountain ATV Association, Inc.
P.O. Box 805
Wallace, ID 83873

Phone:  208.512.2269
Email:   hmatva@cebridge.net