Membership

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GOSHEN HIGHLANDERS

SNOWMOBILE CLUB

P.O. Box 37, Goshen, Ma. 01032-0037

CLUB MEMBERSHIP FEES

 THE FEE IS $15.00 FOR SINGLE / $25.00 FOR FAMILY (incl. kids under 18 yrs.)

  THE FEE FOR A S.A.M TRAIL PASS IS $25.00 PLUS CLUB FEE

  MEMBERSHIP IS FROM SEPT. 1 THRU SEPT. 1 OF EACH YEAR

FOR 200_ TO 200_ SEASON

PLEASE PRINT ALL INFORMATION

  NAME _________________________________________________________________

  ADDRESS ______________________________________________________________

  TOWN _________________________________STATE_______ ZIP   CODE _________

  MAILING ADDRESS, IF DIFFERENT _______________________________________

  E-MAIL ADDRESS (optional) ______________________________________________

  PHONE NUMBER ( ) _________________________________

  SNOWMOBILE INFO ____________________________________________________

  SNOWMOBILE INFO ____________________________________________________

  I, the undersigned, waive all right from accident or injury while riding on trails in or out of our own club territory or participating in any activities involving the Goshen Highlanders Snowmobile Club, The                Snowmobile Association of Mass., private landowners, the Commonwealth of Mass., or individual townships of Mass.

  SIGNATURE ________________________________________ DATE _____________