PLEASE PRINT AND RETURN TO ADDRESS BELOW:

Southern New Hampshire Trailblazers

PO Box 263, Kingston, NH  03848

ANNUAL MEMBERSHIP (Check One):

 _____FAMILY ($20.00)                _____JUNIOR ($9.00)             

 _____INDIVIDUAL ($15.00)

 NAME_________________________________  TELEPHONE_______________________

ADDRESS_________________________________________________________________ 

MAILING ADDRESS________________________________________________________

OCCUPATION_____________________________________________________________

SPOUSE’S NAME___________________________________________________________

CHILDREN’S NAMES      ________________________            _________________________ 

                                              ________________________            _________________________ 

SNOWMOBILES_______________MAKE______________MODEL_____________YEAR 

 __________________________________________________________________________

 __________________________________________________________________________

___________________________________________________________________________

SNOWMOBILE RIDING INTEREST

 _____LOCAL TRAILS               _____TRIPS AWAY FROM AREA      _____DAY 

 _____WEEKENDS                     _____FAMILY OUTINGS                       _____TRAIL WORK  

ARE YOU INTERESTED IN WORKING ON CLUB COMMITTEES, PARTICIPATING AS AN  

OFFICER OR BECOMING INVOLVED AS A REGULAR VOLUNTEER?  

_____YES                                             _____NO                                              _____NOT SURE  

_____ I do wish to receive the Sno-Traveler  _____ I do not wish to receive the Sno-Traveler

SIGNATURE_______________________________________DATE_________________