NAME:______________________________________________________________________
MAILING
ADDRESS:___________________________________________________________
CITY:_____________________________________STATE:____________ZIP:_____________
E-MAIL
ADDRESS:____________________________________________________________
HOME
PHONE:______________________________________________________________
NON-RESIDENT: DO YOU HAVE A NH ADDRESS? IF SO, PLEASE LIST.
NH
ADDRESS:________________________________________________________________
TOWN:______________________________ZIP:__________PHONE:___________________
ARE YOU CURRENTLY A NHSA MEMBER WITH ANOTHER CLUB? YES___
NO___
WOULD YOU LIKE TO RECEIVE A NEWSLETTER BY MAIL? YES___ NO___
MAY WE CALL YOU FOR WORK PARTIES? Y/N OR CLUB EVENTS? Y/N
OUR MEMBERSHIP INCLUDES NHSA MEMBERSHIP, CLUB MAP, CLUB
DECAL, NHSA SNO-TRAVELER NEWSPAPER, AND CLUB NEWSLETTER.
SINGLE RATE (OVER18) $28.00: ____
FAMILY RATE $28.00:
____
SPOUSE TO BE INCLUDED:_________________________
CHILDREN UNDER 18:_____________________________
PLEASE MAIL FORM AND CHECK TO:
MOUNTAIN MEADOW RIDERS
PO BOX 3522
NORTH CONWAY, NH 03860
THANK YOU FOR SUPPORTING MOUNTAIN MEADOW RIDERS SNOWMOBILE
CLUB!