APPLICATION FOR MEMBERSHIP

For Membership in the Southeastern

Utah Off Highway Vehicle Club.

Print and mail this form

 

NAME_______________________________________________________

SPOUSE____________________________________________________

MAILING ADDRESS___________________________________________

_____________________________________________________________

CITY,STATE,ZIP______________________________________________
_____________________________________________________________

PHONE_______________________________

Send in the enclosed registration form and $20.00
membership fee to:

Mark H. Williams, President- P.O.Box 382

Castledale Utah 84513

OR

Mary Bentley, P.O.Box 93,

Ferron Utah 84523