Presque Isle Snowmobile Club - Application for Membership

Check one: 

    Full Membership - $35.00         

    Associate Membership - $15.00 

 Check one: 

   New

   Renewal

First Name     Last  

Spouse  

Address 

City         State   Zip

Phone     Alt/Cell #

Email          I would like my newsletter emailed to me
                                            
                            
Please check the boxes in areas that you could help:

    Clubhouse Maintenance                     Excavating                     Selling Raffle Tickets

    Repairing or Making New Signs           Equipment Maintenance    Welding  

    Clearing Trails & Trail Maintenance      Computer Work     Other


Please list the names of your children and their birthdays:

    Name   Date   

    Name   Date   

    Name   Date   

    Name   Date      

    Your Birthday    Spouse Birthday   

    Wedding Aniv.

Occasionally we are in need of professional services (i.e. plumbers, contractors, HVAC, etc.)   Could we call on you if needed? if so, please list your occupation below.

Your occupation

Spouse                

***NEW this year*** Please forward membership in my/our name to the Pennsylvania State Snowmobile Association.  I have enclosed and additional $20.00 for  the annual membership, which includes a subscription to the Keystone Snowmobiler and my voice in  State snowmobile related issues.

     I am including the $20 to become a member of PSSA

*** All applicants are subject to abide by the PISC by-laws***

Electronic Signature     Date

Applications are subject to the approval of the board. 

Please print out confirmation page and...make check payable to Presque Isle Snowmobile Club
and mail to… Karen East - 825 Lee Road - Waterford, PA 16441