Just print out the form below and mail it to the specified address

Name:_______________________________

Address:__________________________

City:________________________

State:_________________

Zip:________________

Phone: (207)______-_________

E-Mail Address:_________________________________________

Yearly Dues:

$25 - Hillside Family Riders

$40 - Hillside Family Riders & MSA Membership

Business Memberships Available for $50.00

Please Make Checks Payable To:

Hillside Family Riders S. C.
P.O. BOX 7044
Lewiston, Maine 04243-7044