Manual Payment Form

INSTRUCTIONS: Fill out a registration form for each person registering. Please Mail to Algonquin West ATV Club PO. Box 273, Emsdale, Ontario, P0A1Y0 along with a Cheque.

Please select Member Registration*

First name*

Last name*

City*

Street address*

Province*

Postal code*

ATV / UTV Bike Make and model*

Insurance company name *

Would you like to be on our email contact list for future events, etc?

Insurance policy number*

Telephone number*

email address*

Pricing:

AWATV and HATVA current members until April 1, $60 / per rider Non-members $70 per rider Plus this year we have a Kids Registration at $30 for Members and $40 for non members after April 1 $80 for Adults and $40 for Kids. Registration is not confirmed until payment has been received through PayPal, Debit and credit accepted without signing up for PayPal.

Please enter the phrase as it is shown in the box above.  

 

 

HATVA_logo_revised_120.jpg Park_to_Park_logorev._1_120.jpg ATVOntario_120.jpg North_Hastings_ATV_Club_150.jpg KATVA_Logo_large_120.jpg
paypal