Page Title

SOUTHERN MAINE TRACTOR CLUB
MEMBERSHIP APPLICATION
PRINT THIS PAGE AND MAIL TO
THE ADDRESS BELOW.

Membership Application
Name:_________________________________________

Mailing Address:_______________________________________

Town:_________________________________________

State:___________________Zip:____________________

Telephone: (____)______________________________

Email:_________________________________________

Other family members, spouse, significant other, children under the age
of 18.

1._____________________________________________

2._____________________________________________

3._____________________________________________
Make Checks payable to:
Southern Maine Tractor Club
Send Check to: Roxanne Bumford
PO Box 248
Lebanon, Me 04027
207-457-2117

Dues are $20.00 per family per year
Sponsorship is $25.00 per year
Pullers are required to have insurance.
The insurance fee is : $15.00 per person/ $30.00 per family