MEMBERSHIP FORM:

San Juan Sledders Snowmobile Club

37 Red Cliffs Road

Durango, CO. 81301

Membership Application for San Juan Sledders Snowmobile Club                 Date__________

CSA District 9 

All Members: Please type or print information

 New Member________      Renew Member________         Business Member_________

     Amount Due                                         ________________ Single Membership $32.00 /yr.

                                                                  ________________ Family Membership $37.00 /yr.

                                                                     ________________  Business Membership $57.00 /yr.

Last Name:____________________________________ First:________________________

Spouse: __________________________________________________________________

Children: _________________________________________________________________

Mailing Address: ___________________________________________________________

City:__________________________ State:___________________ Zip: _______________

Home Phone: ________________________ Business: Phone:________________________

E-Mail Address:____________________________________________________________

Number of Snowmobiles________________________

Sponsors Name ______________________________

Membership Dues are from Oct. 1 through Sept. 30 each year.

Dues paid to the club gives you membership in the Colorado Snowmobile Association

Please make checks payable to the San Juan Sledders and mail to address above.

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