Eastern Washington ATV Association (EWATV) Membership Application

Eastern Washington ATV Association

EWATV Membership Application

All items are required unless indicated as optional
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Part 1 – Application Information

Type Application:

New/Initial Renewal

Membership Level (select ONE):

Individual
Individual With Life Flight
Family
Family With Life Flight
Business

Note:
EWATV membership: July 1st thru June 30th
Life Flight membership: August 1st thru July 30th

Part 2 – Contact Information

First name:

(optional) Middle Initial:

Last name:

(optional) Spouse name:

Mail address:

City:

State:

Zip code:

One of the following is required:

Home phone:
Cell phone:

E-Mail Address:

Confirm E-Mail Address:

(optional) Alternate E-Mail Address:

(optional) Web address:

Do you represent a Club /
Business / Organization (CBO)?

Yes No

Part 3 – Club / Business / Organization (CBO)

CBO name:

CBO Mail address:

CBO City:

CBO State:

CBO Zip code:

One of the following is required:

CBO phone:
CBO Cell phone:

CBO E-Mail Address:

Confirm CBO E-Mail Address:

(optional) CBO Web address:

Do you own an OHV?

Yes No

Part 4 – OHV Information
OHV Type:
OHV Year:
OHV Make and Model:

Part 5 – Miscellaneous and Agreements

How did you find out about us?

Sponsor name:

I agree to the
Rules & Terms of Use

Yes No
Read the Rules and Terms of Use here.

I agree to the
Liability Waiver

Yes No
Read the Liability Waiver here.

I agree to receive electronic
communications from EWATV

Yes No

Jan 11, 2021 edition

Page last updated: January 20, 2021

EWATV, PO Box 14031, Spokane Valley WA 99214-0031