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NORTHERN PINE RIDERS MEMBERSHIP FORM

NAME______________________________________________________

ADDRESS___________________________________________________

CITY_____________________________STATE__________ZIP_______

COUNTY___________________PHONE (_____) ___________________

E-MAIL____________________________# OF SLEDS______________

# OF FAMILY MEMBERS_________         MRM#__________________

Individual/Family – $20/yr

Extra Miler Individual – $50/yr

Business  – $75/yr

Business Sponsor – $100/yr

FREE membership in MnUSA is included with NPR membership.

Please print and mail with membership fee to:
Northern Pine Riders Snowmobile Club
P. O.  Box  28
Willow River, MN  55795

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