Snowmobile Hall of Fame Membership Form
Ride with the Champs Registration Form
Building Block Support Form
RAFFLE TICKET ORDER FORM!!
Please use this form for Hall of Fame Membership, Ride with the Champs Registration, Raffle Ticket Orders, and/or Building Block Support. Please FILL IN the applicable fields -  PRINT OUT the form - MAIL WITH PAYMENT to the address below. Checks should be made payable to: Snowmobile Hall of Fame.
Mail to: SHOF
P.O. Box 720
St. Germain, WI 54558		 Fax to: (715) 542-4260
Name:
Address:
City:   State:   Zip:
Phone:   Fax:
E-mail:  
Please X all applicable fields.
Hall of Fame Membership
Annual Dues - Individual ($25) Business* ($100)
Patron - Individual  ($100) Business Life* ($1000)
Life Member - Individual ($500) *Business memberships are entitled to two votes
 
Building Block Supporter: $
Ride with the Champs $130/person:

~ Sponsored by ~ 

GARAGE HEATERS
by Modine
     Names in Party:
Ride with the Champs fee includes three meals and souvenir bib.
$10.00 per ticket, 3 for $20.00:
(1978 Arctic Cat Brian Nelson racer with drawing May 27, 2012 Drawing takes place at Roundup, 3 pm, Community Park, St. Germain, WI)
$10.00 per ticket, 3 for $20.00:
(2012 Ski-Doo 600 MXZ Sport raffle, drawing Feb 18, 2012. Drawing takes place at Ride with the Champs banquet, Whitetail Inn, 8 pm )
Credit Card Information
Name on Card:
Type of Card:
Card Number:      CVV code:
Expiration Date:
   
I approve the above charges to my credit card in the amount of $____________
       
Signature________________________________________Date___________
 

501(c)(3) non-profit
TOTAL AMOUNT ENCLOSED: $

 

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