Whitefield Sno-Kings

Membership Form

Name : _______________________________________

Street Address : _______________________________________

City/Town: ___________________________ State_______  Zip _______

Email: _________________________________________

Phone Number: _____________________________________________

Family Membership 2nd card name: ______________________________________

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$10.00 of your membership dues entitles you to a membership in NHSA and a 1 year subscription to SNO-TRAVELER magazine.

Are you a current NHSA Member? Yes____ No ______

If so, Indicate your NHSA Card Number: ___________________

If you have joined another club for the current season, indicate the card number & deduct $10 from total.  Club Name: _____________________

_______Single Membership                    $20.00

_______Family Membership                   $30.00

_______ Trail Grooming Donation        $ _________

TOTAL DUE                                           $ __________

Send Registration and Payment to:        Whitefield Sno-Kings

                                                                      PO Box 64

                                                                      Whitefield, NH 03598

(Checks payable to : Whitefield Sno-Kings)