Smart PDF Form

Fulton Area Snow Travelers
P.O. BOX 434
PHOENIX, NEW YORK 13135

PLEASE PRINT LEGAL NAME INCLUDING JR./SR. (SAME AS DRIVER'S LICENSE)

Your Name:

First NameLast Name

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Family Membership Information - Spouse or Significant Other

First NameLast Name

Phone #:

Email:

example@example.com

(Required for login to NYSSA Membership Site and e-mail of DMV Voucher, NYSSA News Letter, and other information.}

Membership Options

Standard membership $30.00 {individual or family}NYSSA Trail Defender membership $50.00Landowner on F.A.S.T. Inc. Trail System - FreeMilitary Honors - Active, former or retired Service Members - Free

Have you already paid NYSSA Dues this season via another club?

If so, which Club?

Please enter the number of snowmobiles you intend to register.

Twenty-five cents of your $5 NYSSA dues will be used for the NYS Snowmobile PAC (Political Action Committee) who is our voice in Albany. If you do not wish to contribute to the NYS Snowmobile PAC, please check this box. Please note, your NYSSA dues remain $5.00 (included in above fee schedule).

Join Online at http://www.nysnowmobiler.com/home
Or, Mail Payment to: FAST, Inc. PO Box 434, Phoenix, NY 13135