| Please print Name and Address below (legibly) | |||||||||
| Name: | |||||||||
| Full Mailing Address: | |||||||||
| SOUTHERN ADIRONDACK SNOWMOBILE CLUB, INC. | |||||||||
| MEMBERSHIP Expires August 31, 2007 | |||||||||
| Phone: | |||||||||
| EMail: | |||||||||
| Signature*: | |||||||||
| Total Paid: $ | |||||||||
| SASC MEMBERSHIP OPTIONS (check one) | |||||||||
| Single | $25.00 | ||||||||
| Family | $30.00 | ||||||||
| Advertising Membership | $30.00 | ||||||||
| NYSSA Membership (Mandatory) | X | $5.00 | (Not mandatory if you are a NYSSA member already) | ||||||
| Additional Donation (optional) | (GROOMER FUND) | ||||||||
| Number of Sleds You Will Be Registering | |||||||||
| If you are already a member of NYSSA through another club | |||||||||
| please state which club below. | |||||||||
| Club Name | NYSSA Club # | ||||||||
| VISIT US AT OUR WEB-SITE - http//www.soadsnowclub.com | |||||||||
| * As a member of SASC, I/we promise to abide by the By-Laws, rules and regulations, and to promote | |||||||||
| the best interest of winter recreational sports and the best interest of the club. | |||||||||
| Do you currently have public snowmobile trails on your property? | YES | NO | |||||||
| (circle one) | |||||||||
| Return this form with your check/money order payable to SASC to: | |||||||||
| SOUTHERN ADIRONDACK SNOWMOBILE CLUB, Inc. | |||||||||
| Attn: Secretary | |||||||||
| PO Box 142 | |||||||||
| Mayfield, NY 12117 | |||||||||