WEARE WINTER WANDERERS Snowmobile Club Inc. Membership Application June 1, 2008 - May 31, 2009

 Name(s): __________________________________________________

Address: _________________________________________________

City, State, Zip code: __________________________________________________

Phone Number _________________________________

E-Mail Address _________________________________

Check here if you do not have e-mail _______

Select membership status: ________ Active ______ Inactive

Active – participate in club functions and receive newsletters

Inactive – dues payer only

What type of snowmobiling interests you?

Outings: Racing:

Group _____ Ice _____

Day Trips _____

Overnight _____

Trail Riding _____

Membership Fee: (note: family membership includes spouse & children under age 18).

Both types of memberships are $30 each. $10 of your membership dues entitles you to

membership in NHSA and a one-year subscription to Sno-Traveler magazine.

Select membership type: _____ Single ______ Family

How many children in your family are under the age of 16? ______

Dues Paid: $30.00

Trail Donation (optional)

TOTAL AMOUNT ENCLOSED

Make checks payable to: WEARE WINTER WANDERERS

Mail to: PO Box 513

Weare NH 03281

Office Use Only

DATE PAID: _____________ CHECK #: __________

NHSA#: _____________ CASH: __________