Join / Renew Membership – Montana Trail Vehicle Riders Association

Is this membership NEW or a RENEWAL? (asterisk denotes required responses) *NewRenewal

Name (main member or business name) *

Street Address or PO Box *

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Phone

MTVRA member #

AMA member #

Membership type *Individual $25Family $40Business $65Organization $100

Additional names (family,business)

Old – Clubs / Add-ons – now hiddenGFTBRA – Great Falls $10.50BVOHVA – Lincoln $10.505RTR – Bozeman $10.50Friends of Pipestone $10.50

Donation to MTVRA

Donation to Little Belts Maintenance Fund

TOTAL $

$

Credit / Debit Card – processed by Stripe.com (not stored with MTVRA) *