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please print this out and mail it to: PO Box 5184 Elm Grove WI 53122-5184

Name(s):
Address:
City: ST: Zip Code:
County: Phone (xxx-xxx-xxxx)
E-mail:

Chapter: (If other, please specify: )

Membership/Sponsorship Type: New Membership Renewal

Individual---------------------------------------------------------------------------$20.00
Family---------------------------------------------------------------------------$30.00
Special inclusive (WORBA ,IMBA)-------------------------------------------------------$30.00
Trail Provider, Event Promoter, or Tourism Office---------------------------------------------$20.00
Club/Team (one sposorship in club/team name, included in all listings as a sponsor)---------------$30.00
Shop, WORBA, IMBA, Ride (one sponsorship in shop name, included in all listings as a sponsor)-----$100.00
Corporate (one sponsorship in corporation name, included in all listings as a sponsor)-------------$200.00

In order to process your application, we will send you
a renewal notice. Please return it with your check and once
we receive it, we'll process your application promptly.

Membership Application

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