SNO-STREAKERS

P.O. Box 780
Meredith, N.H. 03253

MEMBERSHIP APPLICATION

NAME(S) _______________________________________________________ ________________________________________________________________ ________________________________________________________________

MAILING ADDRESS ______________________________________________

PHONE # ________________________________________________________

E-MAIL ADDRESS ________________________________________________

MEMBERSHIP DUES $30.00 per membership NEW ( ) RENEWAL ( )

Names, birth dates and ages of all children under 18 years of age: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________

ADDITIONAL VOLUNTARY DONATION:

$_________________________________________

(For club equipment, scholarships, projects, activities, etc.)

NHSA INFORMATION: I would like _______ NHSA Decals

I do ( ) do not ( ) want to receive the Snow Traveler Magazine (FREE)

Additional voluntary contribution to the NHSA Legal Fund $_____________________

Print this page and send (with check) to:
Sno-Streakers PO Box 780 Meredith, NH 03253

Check out our website www.sno-streakers.com

Joining gives you a $30 discount from the state on each of your sled registrations.