Five Corners Snowmobile Club Membership Form
Membership fee must be paid at time of application. Make checks payable to Five Corners Snowmobile Club.


PLEASE NOTE: Membership will not be accepted until fee is received.


Mail to: Jamie Roethel, W3951 Sumac Road, Plymouth, WI 53073
Name *
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Address *
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City, State, ZIP *
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Telephone *
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E-mail *
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Membership Type *
Payment will be ... *
Membership Status *
If new, referred by:
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I am willing to join the following teams:
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