MOHAWK TRAIL RIDERS SNOWMOBILE CLUB MEMBERSHIP FORM
(Membership valid through June 30, 2010)

Print and mail this form with payment to: Mohawk Trail Riders, PO Box 167, Sanbornton, NH  03269

I (we) hereby make application for membership in the Mohawk Trail Riders, Inc., a non-profit organization. I do this of my own free will and accord with the sole object of supporting the sport of snowmobiling in which I am interested. I pledge myself to abide by the rules of the Club and cooperate in the accomplishments of its aim and the defenses of its ideals.

**  Our dues include a year's membership in the New Hampshire Snowmobile Association (NHSA).
Family Membership husband, wife, and all children 18 years and under, 2 Club and 2 NHSA decals.
Single Membership will receive 1 Club decal and 1 NHSA decal.

Membership Renewals receive yearly NHSA decals. All memberships will receive a monthly Club newsletter to keep you informed of events, trail work, fundraisers, and other news. $10.00 from your membership dues entitles you to membership in NHSA and a one-year subscription to Sno-Traveler magazine.

Note: Join before November 1, 2009 in order to meet the NHSA Sno-Traveler deadline. 

Are you new to the Mohawk Trail Riders Snowmobile Club?   YES _____             NO ______
Are you a member of NHSA through another club?                  YES _____             NO ______

MTR NHSA Club #   004         Current NHSA Membership # _____________  
 

Please choose
single or family membership
:

 

Single Membership @ $20.00 =
Family Membership @ $25.00 =
Extra Club Decals @ $5.00 =
Extra NHSA Decals @ $1.00 =

Total Amount Enclosed  

  $ __________
  $ __________
  $ __________
  $ __________

  $ __________

Optional Donations - During the year, we receive donations from Club Members with specific requests of how they would like the funds dispersed. If you would like to make an additional donation towards a specific Club function, please indicate here:  MTR Trail Maintenance $ _________  NH Easter Seals $ ________ 

PLEASE PRINT ALL APPLICABLE INFORMATION (EVEN IF A RENEWAL)

Name:  _____________________________________________ DOB:  ___________
Street Address:_______________________________________
City, State, Zip:_______________________________________
Phone Number: (       ) _________________________________
Email Address:_______________________________________
Adding your email address will allow us to email you current news and we'll save $$ in postage!
Spouse/Partner: ______________________________________ DOB:  ___________
Children: ___________________________________________ DOB:  ___________

 ___________________________________________ 

DOB:  ___________

 ___________________________________________ 

DOB:  ___________

 _________________________________________________

DOB:  ___________

Would you like to receive our monthly newsletter:   Yes ________   No _______

Signature:   ________________________________________        DATE:  ______________

You are now a member of the Mohawk Trail Riders.  Welcome!  Our Club motto is "WE HAVE FUN". We believe that it's the "MEMBERS" who make that motto real!  So, whenever your schedule permits, come to a meeting and/or help with our activities and projects.
Thank you for your support!

Application and Dues Received by:  ___________________________________ Date: ___________

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