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2023/24 Eagle Lake Winter Riders Membership Form
Contact us at eaglelakewinterrider@gmail.com
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Email
*
Your email
Name
*
Your answer
Mailing Address
*
NOTE: Membership and stickers will be mailed to the address provided below
Your answer
Type of Membership
*
Please select at least one option.
Individual w/MSA Membership - $35.00
Individual without MSA Membership - $20.00
Business w/MSA Membership - $78.00
Business without MSA Membership - $55.00
Family w/MSA Membership - $45.00
Family without MSA Membership - $30.00
Required
Additional Donation to help us Fuel the Fun!
*
Any additional donations are GREATLY appreciated
No Thanks!
Regular - $10.00
Extra - $25.00
Supreme - $50.00
Other.. See below!
Required
Member Specified Donation Amount - $
Please specify the amount you would like to donate.
Your answer
Comments and/or questions
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