RETURN THIS MEMBERSHIP FORM TO
Hooper Hill Hoppers, Inc.
P.O. Box 142
Walpole, NH. 03608

Please Print Clearly                                                      Club No. 203

_________________________________________________________
Name
_________________________________________________________
Spouse's Name
_________________________________________________________
Children (under 16)
_________________________________________________________
Street (Mailing Address, Please)
_________________________________________________________
City/Town
_________________________________________________________
State & Zip
_________________________________________________________
Home Telephone (with area code)
_________________________________________________________
Email
(Communication & Newsletters will be sent electronically when possible and  not mailed.)

Type of Membership
Family ($30.00)                                                   _______
            (Parents & Children under 16)
Single  ($25.00) (Anyone 16 and up)                          _______

Groomer Fund (Optional)                                      _______

$10.00 for your membership dues entitles you to membership in the
New Hampshire Snowmobile Association (NHSA) and a one year
subscription to the state Sno-Traveler magazine.

Do you want to receive the Sno-Traveler?             _______

It is preferred that you join our club and allow us to issue your Club
membership card prior to registering your sled.