Icetronauts Snowmobile Club
Membership Form

The membership year runs from August 1st to August 1st of the following year. Membership dues must be payed by the November meeting.
Print out this form, complete and mail with payment to:
Muskego Icetronauts Snowmobile Club, Inc.
P.O. Box 225
Muskego, Wisconsin 53150

Last Name:___________________ First Name: _______________ Spouse: _____________
Address: _______________________________________________________
City: ______________________ Zip Code: __________________
Phone: _____________________

Email: ______________________________

Name & Birthdate of Children 14 & under:
______________________ _________________________
______________________ _________________________
______________________ _________________________
______________________ _________________________

Place of Employment: _________________________________
Type of Work: ______________________________________
Spouse's Place of Employment:__________________________
Type of Work: ______________________________________

Type of Snowmobile and State Registration Numbers:
______________________ _________________________
______________________ _________________________
______________________ _________________________
______________________ _________________________