The official supporting club of Jericho Mountain State Park and Success OHRV trails.
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Membership Form

ANDROSCOGGIN VALLEY ATV CLUB

MEMBERSHIP APPLICATION

Membership’s expire on December 31.

Date: ________________

Name: _____________________________________________________________

Address: _____________________________________________________________

City/Town: _______________________ State: _________ Zip: _________

Phone Number:______________________________________________

E-Mail:______________________________________________________

Single Membership $25.00: ________ Family Membership $35.00: _____________

Donations: _____________     How many ATV’s:_________

Are you interested in...
 Being an Active Member (participation in meetings)?   Yes  _____  No  _____
 Club Functions?
                                                             Yes _____   No  _____
 Volunteer Trail Work?                                                      Yes _____   No  _____
                                                         

Please make check or money order payable to: Androscoggin Valley ATV Club

Mail Application and Check to:  

Androscoggin Valley ATV Club

                                            Fran Morin - Membership Coordinator

174 Blanchard Street, Apt. 1

Berlin, NH 03570

Web: www.avatvclub.org E-mail: info@avatvclub.org

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