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Vehicle User Form

White River Valley Antique Association

Golf Cart Vehicle User Agreement Form

Name ___________________________________________________________Address ________________________________________________________City ___________________________________________________________State _____ Zip Code ________ Phone Number _______________

 

Make ____________________________________________________________Model __________________________ Year Manufactured ____________

 

Name of Insurance Company _______________________________________Policy Number ____________________ Expiration Date ____________

 

Signature _______________________________________________________Date ____________ Fee Paid $10.00 Check____ Cash ____

By signing this form I agree to abide by the posted rules for the use of golf carts, mules, gators, lawn tractors, or other motorized vehicles. Failure to obey the rules will result in the loss of the privilege to use them.

FILL OUT AND BRING TO SHOW WITH YOU!

DON’T FORGET YOUR CERTIFICATE OF INSURANCE.

THANK YOU.