Online Membership Form

Quad Riders ATV Association of BC (ATV/BC) Membership Form

ATV/BC, #203 – 1139 12th Street, Kamloops, BC V2B 7Z2

Toll-Free: 1-866-766-7823

Primary Member ($75)

First Name
Last Name

Secondary Member ($60)

First Name
Last Name

Child Name

First Name
Last Name

Child Name

First Name
Last Name

Address

Mailing Address
Address (line 2)
City
Province
Postal Code
Phone number
Email
Spouse Email
Club Name

I hereby give permission to ATV/BC to forward my name to nearest Club for affiliation
Yes No

*Privacy Statement - Information submitted will not be circulated and will be kept private to ATV/BC.

Conditions of sale of membership: by accepting this ATV/BC membership, the membership holder and the operator(s) of the ATV to which this membership is attached, I accept all the inherent risks of ATV ing and the possibility of personal injury, death, property damage or loss resulting there from. ATV/BC Membership valid until May 31.

Payment of Fees

ATV/BC Membership (Primary) $75.00
ATV/BC Membership (Primary + Secondary) $135.00
ATV/BC Membership (Family) $145.00
Replacement Decal $5.00

Complete this section for replacement decal only

Original ATV Membership #
2nd Decal #

Reason for replacement

Sold Stolen Damaged Decal

Quad Riders ATV Association of British Columbia (ATV/BC)

ATV/BC

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