Join Online via the NYS Snowmobile Association.
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PLEASE PRINT First Name ______________________________________________ Last Name ______________________________________________ Street Address/PO Box _____________________________________ City ____________State _______ Zip Code____________________ County _________________
Family Membership Information Spouse First Name ___________________ Last Name__________________________ Children under 18 that intend to register a sled ______________________________________________________________________
Phone #_____________________________ Email _____________________________{Required for login to NYSSA Membership Site and e-mail of DMV Voucher, NYSSA News Letter, and other information.}
( ) Individual & Family Membership - $25.00 includes $5.00 NYSSA Dues ( ) NYSSA Trail Defender membership upgrade additional $20.00
Have you already paid NYSSA Dues this season via another club? __________ If so, which Club __________________________________________________
Please enter the number of snowmobiles you intend to register __________
[ ] Twenty five cents of your $5 NYSSA dues will be used for the NYS Snowmobile PAC (Political Action Committee) who is our voice in Albany . If you do not wish to contribute to the NYS Snowmobile PAC, please check this box. Please note, your NYSSA dues remain $5.00.
_____________________________________________________________________ Signature Date
Please make Checks Payable to: Fulton Area Snow Travelers or FAST , Inc. PO Box 434 Phoenix , NY 13135
For Club use only Blank Voucher ID issues (ex 07-140-B183): ______________________________ Snowmobile Trail Land Owner ( ) |
Member Packet includes:
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| By Snail
Mail: Fulton Area Snow Travelers, Inc. P.O. Box 434, Phoenix, New York
13135 By Email: Fastsecretary@aol.com |