Join Moonlight Riders Snowmobile Club

Moonlight Riders Snowmobile Club, Inc. 

P.O. Box 656

Morrisville, N.Y. 13408

Membership Application

Effective September 1, 2017 through August 31, 2018


Name _______________________________Spouse _______________________________


Children under 18 that intend to register a sled _________________________________


NYSSA ID Number__________________________________(# on 2016-17 Membership Card)


Mailing Address___________________________________________________________


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.



Signature_________________________________________ Date_______________



Signature_________________________________________ Date_______________

For Club use Only : Trail Landowner _____