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In association with the ‘
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($5 goes to NYSSA to help support our sport!)
PLEASE PRINT CLEARLY:
Name(s)
Street Address
City, State, Zip
Telephone Number (with area code)
E-mail address
Please list all children 17/under
Please check here [ ] if you DO
NOT want 25˘ donated to the NYS Snowmobile PAC.
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:
Lorrie Barrett
20 Carol Ave.
Manorville, NY 11
949(Please make checks payable to Long Island Sno-Seekers, Inc.)
Ck# __________ Date Rec'd _______________ Membership # _______________