Membership Application

Please Indicate:   New                        Renewal                        Member#                             

 

Last Name                                                                 First Name                                      MI______

AGE               

Address ______________________________________________________________________

City, State, Zip _________________________________________________________________

Phone (Primary) ___________________________  (Alternate) __________________________   

Email*                                                                                                         

                *Club Newsletters are sent out by E-Mail

 

Family Member #1                                                                               Phone         ________          

Family Member #2                                                                               Phone       __________       _

Family Member #3                                                                               Phone            _______         

Rules regarding family membership……If a family member, including spouse, children, grand-children, or other designated children (nieces, nephews, wards, etc.) who are aged 14 or over but under 18 are to be operating equipment of the primary member, they must be assigned insurance and be on the member insured list.  This is mandatory!

If you do not understand the membership rules, please contact any officer for an explanation.

Primary membership is $25.00 per year payable by December 15th of the previous year.  This includes six newsletters and liability insurance for any FRAPA event.  Only primary members will receive newsletters

Other family members are an additional $10.00 per person ~name:

Please list info about yourself, tractors, engines, equipment, etc. and any special skills you possess such as welding, painting, machinist, casting, computer skills, fundraising etc.

__________________________________________________________________________________________________________________________________

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Brandon’s  contact info:  Phone (303) 570-9615  or   brandon.engelsman@hotmail.com

                                                                                                                                                                                   

Please make check payable to “FRAPA”.  Mail this form and check to:

FRAPA c/o Brandon Englesman 

6253 Johnson Way

Arvada, CO 80004

 
 
 
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