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WYOMING MOTORCYCLE TRIALS ASSOCIATION
2015 MEMBERSHIP APPLICATION

Name(s)______________________________________________

Address_____________________________________________

City________________ State_______ Zip_______

Email address_______________________

Home Phone(___)___________

AMA Membership Information:

Name______________________Number__________Exp______
Name______________________Number__________Exp______
Name______________________Number__________Exp______

Check
One
WMTA *Annual Membership Levels
membership descriptions here
Cost
 Season Flyers Only$5.00
 Single Membership$25.00
 Family Membership$30.00

* All memberships expire at the end of each calendar year


Mail with Remittance to:

WMTA
3688 Ridgecrest Dr
Casper, WY 82604