July 1, 2007-June 30, 2008
Dues:
Name:_____________________________
____ Single Regular Membership $30.00
Spouse’s Name:_____________________
____ Family Regular Membership $30.00
Street:_____________________________
____ Platinum Supporting Member* $100.00+
City:______________________________
____ Gold Supporting Member* $75.00
State:______________
Zip:____________
____ Silver Supporting Member* $50.00
Phone:__________________________ **NHSA
Membership is now Mandatory**
“$10.00 of you membership dues entitles you to membership in NHSA and one year subscription to SNO-TRAVELER”
E-Mail Address:_____________________
Total Paid:____________
*All supporting members are
making a donations to the grooming fund. Thank you for your contributions.*
Please Mail
To:
DO YOU NEED A PRE NUMBERED NHSA
484 US Rte
3
YES_____ NO______ please check one
N. STRATFORD, NH 03590
*Any
checks returned for insufficient funds will be charged a $20.00 service fee.
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