Please Print Clearly                                                                   Club No. 203

Name_________________________________________________________

Spouse's Name_________________________________________________

Children (under 16)______________________________________________

Street (Mailing Address, Please____________________________________

Town__________________________________________________________

State & Zip _____________________________________________________

Home Tel. (with area code)_________________________________________

E-mail __________________________________________________________

(Communications & Newsletters will be sent electronically and will not be mailed.)

                                     Type of Membership

Family ($30.00)                            _____________    (Parents & Children under 16)

Single ($25.00)                             _____________   (anyone 16 and up)                                                  

Cedarcrest Donation (optional)   _____________

Groomer Fund Donation (Optional) ________________

$10.00 for your membership dues entitles you to membership in the  New Hampshire

Snowmobile Association and a one year subscription to the Sno-Traveler magazine.

Do You Want the Sno-Traveler?: _____________

It is preferred that you join your Club and allow us to issue your Club membership

card prior to registering your sled.