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| Powder Mill Snowmobile Club |
| 2004/2005 Membership Applicaiton |
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| New Member?____________ Renewing Member?______________ |
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| Individual Club Membership with NHSA Membership $25 |
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| Family Club Membership with NHSA Membership $35 |
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| By selecting one of the above membership types, PMSC will return to you a membership card which should be used to register your snowmobile(s). The above membership fee includes New Hampshire Snowmobile Association dues (mandatory). A copy of SnoTraveler magazine will be included with your NHSA membership. The only additional cost is the State of NH registration fee required for each machine. If you are a member of NHSA through another club, please send along a copy of your NHSA card, then $10 for NHSA will be waived. |
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| Additional Donations ________________ (Groomer - Trails - Activities) circle one |
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| Amount Enclosed ________________ |
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| Name: ______________________________________________ |
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| Mailing Address: _____________________________________ |
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| City: ____________________________ State: ____________ |
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| Zip Code: ____________ Telephone: ____________________ |
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| Email: ______________________________________________ |
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| Do you want to receive the newsletter by email only Y N |
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| May we contact you for weekend work parties? Y N To Help Groom? Y N |
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| Do you have any special skills/equipment to offer? Y N ____________________ |
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| Please make check payable to Powder Mill Snowmobile Club, and mail with this form to: |
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| Powder Mill Snowmobile Club |
| P. O. Box 324 |
| New Durham, NH 03855 |
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| Thank you for your support, it is greatly appreciated. |
| Please visit our website http://www.metrocast.net/~kperry, linked off http://www.nhsa.com, under Strafford County Clubs. |
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| Please let us know if you need other applications mailed, call 603-859-6686, leave a message. |
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