Membership Form
Name_____________________________________________________
Mailing Address ____________________________________________
City_________________ State__________________ Zip____________
Home Phone____________________ Work ______________________
Names of Family Members____________________________________
__________________________________________________________
E-Mail Address_____________________________________________
Please include your e-mail address. E-mail is our primary means of written
correspondence with you.
Single Membership: $15.00 Family Membership: $20.00
Please make checks payable to: Interior Alaska Trail Riders Association
Mail completed form to:
Interior Alaska Trail Riders Association
C/F Jean Ernest