Membership Form

First name:
Spouses name:
Children name(s):
Children name(s):
Children name(s):
Children name(s):
Last name:
Mailing Address:
City:
State:
ZIP Code:
Phone:
Circle Membership type requested: Pick Just One			MSA ( $20) ATV ($20) BEACH ($20) MSA & ATV ($30) + $2 for MSA Dep. Life Ins.
Date:
E-mail address:
If MSA, list name(s) of insurance Beneficiary(s)
For items below (circle desired service)
Receive club newsletter by:		US postal mail E-mail
Receive phone calls about:	Special club events Trail work events

Please mail to:

China Four Seasons Club

PO Box 474

China Maine 04358

Membership type descriptions:

MSA membership= a portion of your dues will pay for Membership in “Maine Snowmobile Association” (this include a $2000 accidental death and dismemberment insurance policy on the member only; $2 each to add dependents). Dues must be paid by June 1^st of every year.

ATV membership= a portion of your dues will pay for Membership in A.T.V. Maine “Alliance of Trail Vehicles of Maine” (this include a $2000 accidental death and dismemberment insurance policy on all family member; Dues must be paid by June 1^st of every year.

BEACH membership= general membership in our club only. Dues must be paid by June 1^st of every year.

Business Memberships are available. Please contact the membership co-coordinator for more information.

Benefits of membership:

*Monthly potluck supper followed by a membership meeting.

(Second Thursday of every month) [People start showing up around 6PM, supper start about 6:30PM, meeting starts about 7PM]

*Use of beach, dock and picnic area.

*Club holiday parties.

*Club organized trail rides.

(ATV/Snowmobile)

*Club sponsored safety courses/programs.

*Representation on China Recreation Committee

*Fellowship in the Community

See the back of this form for comment area & mailing instructions.