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MEMBERSHIP FORM

Topsham Trailriders ATV/Snowmobile Club

PO Box 421
Topsham ME 04086

Applicant Information

Name:
Date of Birth: Phone:  
Current Address:
City: State: Zip Code:
Email Address:

Emergency Contact

Name of the relative not residing with you:
Address: Phone:
City: State: Zip Code:

Spouse Information if Joint Membership

Name:  
Date of Birth: Anniversary:  

ATV Maine Accidental Death Insurance

This is the free accidental death and dismemberment insurance provided to A.T.V. Maine members. The new benefit will be $2500 for the member and family listed on the membership list with A.T.V. Maine. If you have any questions about this benefit or additional insurance, please call Shane Knowles at 207-318-9572 or spknowles@ailife.com.
Primary Member Beneficiary Name: DOB/
Spouses Beneficiary Name: DOB/
Children’s Beneficiary Name: DOB/

Children if membership privileges desired (must be 17 years old or younger)

Name: DOB/
Name: DOB/
Name: DOB/
Name: DOB/

Affiliate Membership

DO YOU BELONG TO ANOTHER CLUB? Yes

IF SO, WHICH CLUB(S)
 

Disclaimer

I understand that by signing this form, my membership can be terminated at any time if the club or its officers have reason to believe that I or a member of my family operates an ATV irresponsibly so it endangers the landowner/club relationship or causes harm to individuals or property or commits any act that reflects negatively on the integrity of the organization. My membership fee is non-refundable and it is intended to be used to support the club as a whole. If my check is returned due to insufficient funds, my membership will not be valid until the membership fee and any charges are paid. I also agree to hold harmless the Topsham Trailriders ATV Club from all liabilities resulting from my involvement with the club.
 

 

Meeting Information

The Club  Meets on the First Wednesday of each month at the Topsham Fair Grounds at 7:00pm. All are welcome.




Contact the Club
Your Name:
Email:
Phone:
Subject:
Message:

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contact info

President
Dale Giles
(207) 725-6015


Vice-President
Roger Bickford
(207) 353-8946


Treasurer
Dan Parlin
(207) 725-7056


Secretary
Virginia Bickford
(207) 353-8946


Trailmaster
David Anderson
(207) 725-8779


Board of Directors
William Brigham
(207) 721-9813

Marsha Bickford
(207) 353-6315

Randy Bickford
(207) 353-6315

Timothy Doyle
(207) 837-0225

Rocky League
(207) 353-3257


Student Representative
Bryan Chonko
(207) 729-3483


Business Sponsors

Atlantic Regional Federal Credit Union
55 Cushing St
Brunswick ME 04011
Phone:(207) 725-8728


Bickford Garage
149 Main St
Lisbon Falls Maine 04252
Phone:(207) 353-8946


Brillant Motors
92 Main Street
Topsham ME 04086
Phone:(207) 725-6388


C & R Trading Post
657 Old Portland Road
Brunswick Maine 04011
Phone:(207) 725-1452


Freeport Auto Parts
33 Allen Range Road
Freeport Maine 04032
Phone:207-865-3967


Topsham Auto Repair
380 Lewiston Road
Topsham ME 04086
Phone:(207) 504-2790


Topsham Auto Repair
380 Lewiston Road
Topsham Maine 04086
Phone:Phone:(207) 504-2790


Tri-Sports Inc.
23 Gray Rd
Topsham ME 04086
Phone:(800) 291-3328


Weeks Custom Metal Fabrication
378 Bay Road
Bowdoinham ME 04008
Phone:(207) 666-3552


Woody's Performance Centers
70 Topsham Fair Mall Road
Topsham ME 04086
Phone:(207) 729-1177