Standish Gorham
ATV Club
Standish Gorham ATV Club, Inc.
e-mail: (email@standishgorhamatvclub.com)
20____ Membership Application Form
____$30.00 – Supporting Business Member (contact the club for more info)
____$20.00 – Primary membership (includes Spouse + children under 18)
____ $15.00 – Associate membership (before joining as an Associate member, a
current year Primary membership with another A.T.V. Maine affiliated club is required)
Membership is due in April of each year.
New___ Renewal___
Please print clearly.
Primary Club: ______________________________________________________
Associate Club(s): __________________________________________________
Name: ____________________________________________DOB:____/____/____
Address: ______________________________________
MSA member: yes___ no___ SAM member: yes___ no___
Town/ State/ Zip: ___________________________________________________
Phone: ___________________ E-mail: __________________________________
Spouse: __________________ Children: ________________________________
ATV/ Year/ Make/ Reg #: _____________________________________________
Areas of Interest: ___Trail work + any equipment __________________________
__Landowner relations __Safety training __Search+Rescue __Boards/Committees
__Fundraising __Officers __Activities/Events __Help where needed
How/where did you here about the SG ATV Club? ________________________
I understand that by signing this form, my membership can be discontinued at any time if
the club or its officers have reason to believe that I or a member of my family operates an ATV
irresponsibly so that it endangers the landowner/club relationship or if it is believed
that the operator could cause harm to another individual. My membership fee is non-refundable
and it is intended to be used to support the club whole. I also agree to hold harmless the SG
ATV Club from all liabilities resulting from my involvement with the club.
Signature: ________________________________________ Date: ____/____/____
Meetings held 3rd Thursday of each month at the West Gorham Fire Barn on Rt. 25
Please come to our next meeting or mail this form to:
Standish/ Gorham ATV Club
P.O. Box 664
Gorham, ME 04038
Please make checks payable to: Standish Gorham ATV Club
Tread Lightly and Ride Safe
On Public and Private Lands