Join Moonlight Riders Snowmobile Club
Moonlight Riders Snowmobile Club, Inc.
P.O. Box 656
Morrisville, N.Y. 13408
Effective September 1, 2016 through August 31, 2017
Name _______________________________Spouse _______________________________
Children under 18 that intend to register a sled _________________________________
NYSSA ID Number__________________________________(# on 2016-17 Membership Card)
City_______________________________ State _______________Zip Code __________
Telephone #_________________ E-mail address_________________________________
Renewal ________New ________
County of Residence: __________________________________________
Membership fee $30.00. Make checks payable to: Moonlight Riders Snowmobile Club
( $5.00 of this membership fee goes to New York State Snowmobile Assoc. dues. )
[ ] Twenty five cents of your $5 NYSSA dues will be used for the NYS Snowmobile PAC (Political Action Committee) who is our voice in Albany. If you do not wish to contribute to the NYS Snowmobile PAC, please check this box. Please note, your NYSSA dues remain $5.00.
( ) NYSSA Trail Defender membership upgrade additional $20.00
Are you currently a member of NYSSA through another Snowmobile Club?
No____ Yes_____ If yes, name of the club__________________________________
Number of sleds intended to register _________
[ ] The NYSSA default is that this member will receive occasional offers and promotions by U.S. Mail directly from NYSSA Sponsors and he or she is at least 18 years of age. If he or she does not wish to receive promotional mailings or is under 18 years of age please check this box.
As a member of Moonlight Riders, I (we) agree to respect property owner’s land and stay on designated Club trails.
For Club use Only : Trail Landowner _____