Please print legibly and submit with your payment of $30.00 for either a single or family membership.

Name: _________________________________________________________________

Spouse or other family member name if family membership: ______________________

Address: _______________________________________________________________

City: _______________________________ State: _________ Zip: _________________

Telephone: ___________________Email address: ______________________________

Please provide your e-mail address if you want to be on our mailing list to receive information about club activities, meetings, events, safety course, scholarship, etc.

Membership Type: ______ Single ______ Family

Nor’Easters Snowmobile Club membership also includes membership in the New Hampshire Snowmobile Association.

Signature of Applicant: ____________________________________________________

Date: _________________________

Membership Applications will be Accepted at Club Meetings or by Mail and Must be Accompanied by Your $30.00 Payment.