Snowmobile Club

Application Form

Make checks payable to:  NABOB PRAIRIE RIDERS

Mail to:  Karen Gamroth, 5790A Hwy K, Hartford, WI  53027

EMAIL US WITH ANY QUESTIONS -- info@nabobprairieriders.com

Name:____________________________________________________________

Address:__________________________________________________________

City/State:__________________________________ Zip Code:______________

Phone Number:__(______)____________________________________________

E-mail Address:_____________________________________________________

Newsletter preference (circle one):    E-MAIL        MAIL

Payment Enclosed for:

____________ : Family Membership $25

List Family Members:__________________________________________________

____________ : Single Membership $17

**Please do not send cash!  Check or money order is best**