Cranberry Lake Mountaineers Snowmobile Club Membership Application

DUES: $25.00 SINGLE, $25.00 FAMILY

Family membership includes spouse and children 17 years of age and under.

Duration - Sept 1, 2006 to Aug 31, 2007. CLMSC Membership includes Memberships in the

St. Lawrence County (SLCSA) & New York State (NYSSA) Snowmobile Associations

***** Important!! Names and address must match your snowmobile registration(s)*****

NAME:______________________________________________________________________________

SPOUSE:_____________________________________________________________________________

ADDITIONAL FAMILY MEMBERS & AGES:______________________________________________

____________________________________________________________________________________

STREET ADDRESS:____________________________________________________________________

PO BOX:________________________________CITY:________________________________________

STATE:____________ ZIP CODE:_______________ PHONE #:(_______)________________________

EMAIL ADDRESS:_________________________________________________

MAKE CHECKS PAYABLE TO: CRANBERRY LAKE MOUNTAINEERS SNOWMOBILE CLUB INC. AND MAIL CHECK AND APPLICATION TO: P.O.BOX 481, CRANBERRY LAKE, NEW YORK 12927