ILLINOIS VALLEY WINTER SPORTS CLUB
Membership Application
Name:__________________________________________________________________
Spouses Name:___________________________________________________________
Children & ages:__________________________________________________________
Street Address:___________________________________________________________
City, State, Zip:__________________________________________________________
Phone #:_____________________________ Cell#:______________________________
E-Mail Address:___________________________________________________________
Snowmobiles owned?:_____________________
Brand Engine CC’s Insured
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Please mark which of the following committees you would like to work on. We request all members to participate. Remember this club is not just for a few, it’s for everyone!!
Trails_____ Entertainment_____ Radar Run_____ Grass Drags______
If accepted for membership, I agree to abide by the Rules, Regulations and By-Laws of the Illinois Valley winter Sports Club and waive all responsibility in the event of personal injury, property damage or death during any club activities.
Signature:________________________________________________________________
Signature of Spouse:_______________________________________________________
Family Dues $20.00__________ Single Dues $20.00__________
Send Form and Payment To:
Illinois Valley Winter Sports Club
398 Illinois Street
Marseilles IL 61341