Winnebago Eastshore Conservation Club
W4752 Hickory Hills Rd
Chilton, WI 53014
ph: 920-439-1686
Form for Written Notice of Infractions
WECC Written Notice of Threats, Abusive Behavior & Infractions of Club Rules
Date:__________
Time:__________
Name of Offender:__________________________________________________________
Description of Person:________________________________________________________
Description of Vehicle:________________________________________________________
Name of Person Reporting Offense:_____________________________________________
Offense:_____________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Brought to WECC Board of Directors on:____________________________
Written Notice Sent:____________________________________________
Offense #:_________________
Copyright 2009 Winnebago Eastshore Conservation Club. All rights reserved.
W4752 Hickory Hills Rd
Chilton, WI 53014
ph: 920-439-1686