Please Indicate: New Renewal Member#
Last Name First Name MI______
City, State, Zip _________________________________________________________________
Phone (Primary) ___________________________ (Alternate) __________________________
*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.
Brandon’s contact info: Phone (303) 570-9615 or email@example.com
Please make check payable to “FRAPA”. Mail this form and check to:
FRAPA c/o Brandon Englesman
6253 Johnson Way
Arvada, CO 80004