Spouse  First Name:____________________
Address:______________________________
City:_________________________________
State/Province:_________________________
Zip Code:_____________________________
Phone: (______) _______________________
Email:_____________________________________
Valley Snow Travelers Membership Form
Please print and mail along with check or money order to
Valley Snow Travelers
7491 Route 12
Lowville, NY 13367
First Name:__________________________
Last Name:_______________________
New
Renewal
Individual $25
Family $25
check one:
check one:
# of Registered Snowmobiles:_____________
How would you like to receive your club newsletter?
Email
Regular Mail
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Family Membership Information
# of Children:__________________________
List names of children under the age of 18:
(list only children 17 and under who intend to register a sled in their name)
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County:______________________________
___________________________
___________________________
** must match address on registration **
2011 - 2012
please feel free to call if you have any questions at (315) 376-2252 - ask for Tracey
Think Snow!!!
___________________________
___________________________
Last Name:_________________________
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