Membership Application Name:___________________________________ Mailing Address:___________________________ Town:____________________________________ State:__________________Zip:_______________ Telephone: (____)__________________________ Email:____________________________________ Other family members, spouse, significant other, children under the age of 18. 1._____________________________________________ 2._____________________________________________ 3._____________________________________________ Make Checks payable to: Southern Maine Tractor Club Send Check to: Roxanne Bumford PO Box 248 Lebanon, Me 04027 207-457-2117 Dues are $20.00 per family per year Sponsorship is $25.00 per year Pullers are required to have insurance. The insurance fee is : $15.00 per person/ $30.00 per family