| All rights reserved. |
| SOUTHERN MAINE TRACTOR CLUB MEMBERSHIP APPLICATION PRINT THIS PAGE AND MAIL TO THE ADDRESS BELOW. |
| Membership Application Name:_________________________________________ Mailing Address:_______________________________________ Town:_________________________________________ State:___________________Zip:____________________ Telephone: (____)______________________________ Email:_________________________________________ Other family members, spouse, significant other, children under the age of 18. 1._____________________________________________ 2._____________________________________________ 3._____________________________________________ Make Checks payable to: Southern Maine Tractor Club Send Check to: Roxanne Bumford 88 Milton Mills Rd Lebanon, Me 04027 207-457-2117 Dues are $20.00 per family per year Sponsorship is $25.00 per year Pullers are required to have insurance. Insurance charge is $15 for individual/ $30.00 per family |
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