2012 Spring Rally Registration

Please fill it out in detail. ONLY ONE PERSON PER REGISTRATION, PLEASE. Insurance Info MUST be filled into ride our trails.

Date*

First Name*

Last Name*

Address*

City*

Postal Code*

Telephone Number*

ATV/UTV make and model*

Insurance Company*

Policy Number*

Email Address*

Membership status

AWATV / HATVA current valid members $45
Non members $55
April 1 and afterward $65 for everybody

Passengers $30 extra

add passenger

Passenger name

Please Click the Submit Button ONCE per machine to register, thank you for Registering. Please MAIL your payment.- For Credit Card Payment, Please Call Susan at 705-636-1596 for Processing! A confirmation email will be sent to each registrant.