|
|
In association with the ‘
|
($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 # _______________