Wanna Join? Great! Print out the form below, fill it out and mail it off with a check to:
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UMPQUA LANDS TRAIL RIDERS ASSOCIATION, INC. |
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PO Box 281 |
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Roseburg OR 97470 |
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MEMBERSHIP APPLICATION |
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Annual dues $25.00 per person or per family |
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Make Checks Payable to ULTRA Inc. Renew 12 months after sign up date |
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Are you a member of AMA? |
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IF YES please list AMA# ___________ |
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Are you a member of OMRA? |
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OMRA# |
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First and last names of spouse and dependent children: |
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AMA# |
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AMA# |
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AMA# |
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AMA# |
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Do you ride: |
Dirt Bikes? |
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ATVs? |
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Where do you ride most? |
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What is your favorite riding area? |
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Type of riding? |
Recreational |
Non-competitive |
Competitive |
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(poker run etc.) |
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(Racing) |
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Date Received |
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By |
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