DAIRYLAND DRIVING CLUB MEMBERSHIP CATEGORIES
DAIRYLAND DRIVING CLUB MEMBERSHIP FORM
Type of membership (circle one) Family $20, Individual $18, Youth $10 (not part of family membership), Guest $5*
*Guest Membership only - name of DDC member sponsor: ________________________________________________
Name - Primary Contact: ___________________________________________________________
Name - Secondary Contact: _________________________________________________________
Children: _______________________________________________________________________
Address: _______________________________________________________________________
City: ___________________________________________________________________________
State: _______________ Zip: _______________________________
Home Phone: __________________________________________________
Work Phone: ___________________________________________________
E-Mail: ______________________________________________________________________
You will receive a notice when your Coachman Newsletter is ready, and reminders of DDC events by email.
Send this form and your check made out to DDC for the proper amount to Nancy Nelson, 106 Park, Westfield WI 53964.

