White Mountain Trail Club Membership Application 2011/2012 Season
Name:	______________________________________________________
Mailing Address:	______________________________________________________
City / State / Zip	_____________________________          ________          ________
Telephone:	______________________________________________________
Email:	______________________________________________________
In what manner do you use the trail system? Please check all that apply. Snowmobile Hike Ski Snowshoe Dog Sled Mountain Biking Other ________________________________________________________
Type of Membership:	_____ Individual $30 _____ Family $40 (Children 18 and under, Please list below) _____ Business $50 _____ $100 to join New Hampshire Snowmobile Association              (includes snow traveler magazine) _____ Donation     $___________(Amount)
List other family members:	_______________________             _______________________ _______________________             _______________________ _______________________             _______________________
Individual and family memberships include: New Hampshire Snowmobile Association and Snow Traveler Magazine
	Please make checks payable to: White Mountain Trail Club PO Box 712 Glen, NH 03812