Long Island Sno-Seekers, Inc

In association with the ‘NEW YORK STATE SNOWMOBILE ASSOCIATION’

MEMBERSHIP APPLICATION FORM

 

Come meet with other fellow snowmobiler’s and share experiences with sleds, trails, accommodations and more!  You will receive our monthly newsletter which includes the latest club trips, events, meetings, and other information.

 

Annual(Sept 1-Aug 31) Membership Fee:  $25.00

 ($5 goes to NYSSA to help support our sport!)

PLEASE PRINT CLEARLY:

 


Name(s)


Street Address


City, State, Zip


Telephone Number (with area code)


Email: ___________________________________________________________________________

{Required for login to NYSSA Membership Site and e-mail of DMV Voucher, NYSSA News Letter, and other information.}


Please list all children 17/under

(  ) NYSSA Trail Defender membership upgrade additional $20.00

(  )  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.

(  ) The NYSSA default is that this member will receive occasional offers and promotions by U.S. Mail directly from NYSSA Sponsors and he or she is at least 18 years of age. If he or she does not wish to receive promotional mailings or is under 18 years of age please check this box.

 

I own ______ snowmobiles.

 

Bring this form to the next meeting, or mail it(Please enclose stamped, self addressed envelope for return of membership cards) TO:

Scott Viesta

32 Rumford Road

Kings Park, N.Y. 11754

(Please make checks payable to Long Island Sno-Seekers, Inc.)


Ck# __________        Date Rec'd _______________        Membership # _______________