2016-2017 MEMBERSHIP APPLICATION

                                                Membership Fee:   $31.00 (single and family)

                                                          _____Renewal     _____New

(Please Print Information)

NYSSA ID Number ___________________________(# on NYSSA Membership Card if you have it)

NAME (first, last)____________________________________________________________________

ADDRESS___________________________________________________________________________

CITY_____________________________________________  STATE____________   ZIP__________

COUNTY_______________________________________PHONE_______________________________   

Family Membership Information    
                                                                          
Spouse / Partner Name (first, last)_______________________________________________________

Children
under 18 years intending to register a sled                                                    

_____________________________________________________________________________________

Email address_________________________________________________________________________

Memberships run from September 1 --- August 31

The Club Membership fee includes membership in NYSSA ($5) & SLEDNY ($1)

Are you a member of another club?  _____Yes  _____No

If Yes club name _________________________________

Number of sleds I intend to register_________________

*Secondary club membership fee is $24.00

Make Checks Payable to:  FingerLakes Trail Runners
Mail to:                              PO Box  177               
                                        Moravia,  NY 13118

**You can also join or renew your membership online and immediately print your voucher at:
https://membership.nysnowmobiler.com/

Please indicate how you would like to receive your DMV Voucher:                   E-mail

                                                                                                        
               U.S. Mail