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Print this out, fill in,
and mail to:
Pennsylvania State Snowmobile Association
PO. Box 81
Annville, PA 17003 |
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Title:
___Mr. ___Mrs. ___Ms. |
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First
Name: _______________________ Initial: _______ |
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Last
Name: _____________________________________ |
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Address:
_______________________________________ |
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City:
___________________________________________ |
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State:______
Zip Code : __________ County: _________ |
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Home
Phone: ( ) __________________ |
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E-Mail
Address: _______________@_________________ |
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Check
one: ___New
Member ___Renewal |
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Annual
membership Category/Fee (Check one) |
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___Family
$20.00 ___ Individual $20.00 ___Associate $30.00 |
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___Dealer $30.00 ___Accessory
Dealer $30.00 ___Club $30.00 |
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Calculate your check amount below: |
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Dues
total:
$______________ |
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Merchandise
Total: $_____________ |
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Grand
total: $______________ |
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Please
make checks payable to: PSSA |