MCDMA Membership Registration Form

Montana Creek Dog Mushers Association

Membership Application
Name *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number: *

Area Code Phone Number
Occupational Affiliations. We may ask for your help. (Optional):
Special Skills (Optional):
SSN (Optional). We have to furnish IRS Form 1099 if you win more than $600.
Are you willing to assist in any of the club functions?

Officers Trail Work Race Marshall Time Keeping Trophy Sponsor
Membership
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Single Member (Annual) $ 35.00

2 Members (Annual) $ 70.00

Total $ 0.00
By clicking the "Pay Now" button you are submiting your online application and will be re-directed to Paypal to submit your payment. Once we recieve your payment, we will contact you about your Membership. Thank you!
I agree to abide by all Club Rules and Regulations. And to abide by Race Rules (ISDRA).
Signature

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Payment Methods

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Montana Creek Dog Mushers Association