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.

Collection of dues has been suspended for the 2014 year.  Please send membership form but

disregard sending money.

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

3216 Chena Hot Springs Rd.

Fairbanks AK 99712

 

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