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SOUTHERN MAINE TRACTOR CLUB
MEMBERSHIP APPLICATION
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THE ADDRESS BELOW.
Southern Maine Tractor Club Membership application
Name: _______________________________________________________________________________

Mailing Address: _______________________________________________________________________

Town: _________________________________________State:___________________Zip:____________

Best Telephone: (_________) ___________________________________________________________

Email: _______________________________________________________________________________

Emergency Contact: Name___________________________________ Phone: (        )___________
                   
Other family members, spouse, significant other, children over the age of 16 & no older than 18

1.___________________________________________________________________________________

2.___________________________________________________________________________________

3.___________________________________________________________________________________
Make Checks payable to:
Southern Maine Tractor Club
Send Check to:
Southern Maine Tractor Club
C/O Kathy Davis
                                           Po Box 283 Moultonborough, NH 03254-0283                        
Dues are $20.00 per member $30 for family per year
Sponsorship is $25.00 per year
Pullers are required to have insurance.
Insurance charge is $15 per operator
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