SEVEN LAKES SNOWMOBILE CLUB
POST OFFICE BOX 311
EAST WAKEFIELD, NH 03830
Membership Application, 2007-2008 Season

New?_____ Renewal?_______

Name:_____________________________   ______________  _______________________________________________
                      Last                                                                               First                                     Spouse or Significant Other
Mailing Address:___________________________________________  ______________________ ________ __________
                                                    Street                                                                                                             City/Town                                    State                     Zip

Home phone  _____________ work phone _____________  email: ______________________

Additional address: _________________________________Additional phone___________________________

QUESTIONNAIRE:

If you are on a lake or pond which one? ____________                      What special skills do you have? ___________________

May we call you for work parties? Yes____No_____                         May we call you to help groom? Yes_____No______

  Please circle your selection(s):
CLUB MEMBERSHIP
  Dues:                                                    $35.00
           If you belong to another club   $25.00 (does NOT include NHSA)  Fill in >>>>>>>>>>>>>
$35 Club Membership includes 1 free decal, NHSA membership and Sno-Traveler newspaper.
Club name:                                                       Membership number:
CLUB MATERIAL
Jacket Patch:  $3.00 x____=            $______ 
Club Decal    $2.00 X ____=            $_______
GROOMER FUND DONATION:  $ _________ For the exclusive purpose of purchasing grooming equipment.
BUILDING FUND DONATION:    $ _________ Enhancements, additions to building and grounds.
EASTER SEALS  DONATION:    $_________ Benefits Camp Sno-Mo for Easter Seals kids. NHSA sponsored charity.
Total Enclosed:                      $ ______________ We thank you for your membership and any donations you may make.

         For additional information regarding the Club you may call one of the officers: Ken Fifield, President, 522-3042; Steve Doyle, VP, 522-6587;
Nancy Clifford, Sec'y, 978-283-6738; Caroline McCarron, Treasurer, 978-977-3398
Please make all checks payable to: Seven Lakes Snowmobile Club
                            NOTE: This is not an electronic form. You must print it and snail mail it to us. Maybe online in future.