Membership Application

2008-2009 Season

This application includes membership through August 31, 2009.

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1. Complete the information requirements below...
   • Name (Please Print) ______________________________________________________
   • Address ______________________________________________________
   • City, State, Zip ______________________________________________________
   • Telephone ______________________________________________________
   • Email ______________________________________________________
   • Number of machines ______________________________________________________

   *** Agreement ***

   I will be responsible for myself, and my family, and knowingly assume ALL risks and liabilities. In the event of fire, theft or accident, to myself, my family, snowmobiles, or other equipment, I will not hold the Enchanted Mountains Snowmobile Club Inc. responsible. In the event of damage or injury, I will not make a claim against the Enchanted Mountains Snowmobile Club Inc., its officers, or members. I submit this application upon promise to comply with ALL rules and regulations of the Enchanted Mountains Snowmobile Club Inc.

   Signature ___________________________ Date ___________________________

2. Check off your payment selection...
   $25.00 for annual membership
   $25.00 for annual family membership (family members 18 years and older must have an individual membership)

   Includes your $5.00 membership in New York State Snowmobile Association (NYSSA)

3. Send application and payment to :
   PO Box 325
   Westons Mills, New York 14788

All club snowmobiles must be registered with New York State and Carry Proof of liability insurance!!!

Snowmobile(s):

-	Make	Model	Year	Reg#	Ins. Co#
1
2
3
4