

SEELEY LAKE DRIFTRIDERS 2010-2011 MEMBERSHIP APPLICATION ANNUAL DUES: (11/1-10/31) ____ New ____ Renewal ____ Business--------------$35.00 (New this year: as a business member include your business card for our website!) ____ Family-----------------$30.00 ____ Individual-------------$20.00 2010/2011 Donation_____ Number of Actual Riders_____ ____ Newsletter Ads $10/issue or $50/year NAME:___________________________________________________ ADDRESS:________________________________________________ CITY,STATE,ZIP:__________________________________________ PHONE #:________________________________________________ EMAIL:__________________________________________________ If you would like to receive newsletter via email please check here: ____ Please mail to: Driftriders PO Box 174 Seeley Lake, MT 59868 THANK YOU FOR YOUR SUPPORT! Look for your monthly newsletter. And visit our website @ www.driftriders.org |