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Name(s):______________________________________________________

Address:_____________________________________________________

City:____________________________ State:_______ Zip:____________

Telephone No: (_______) ______ - ___________ Ext: ________


E-Mail Address:________________________________________________

Signature(s):_____________________ _________________________

Annual dues: $30.00 Number of Family Snowmobiles:____

Names of Household members

__________________________________________________________________

Dues include family household membership and seasonal
monthly publication of the NHSA Sno-Traveler
(We will automatically forward the NHSA dues for you.)


We will send you Membership for
Crescent Lake Regional Sno Riders and NHSA.
Membership term is from 7/1 to 6/30 or any part thereof.

If you are already a member of a legal New Hampshire
snowmobile club and wish to be an Associate Member
of CLRSR, forward ONLY $10.00 and check here ___.

Associate'sPrimary club: _____________________________________
Print this Membership form (page) and then please fill in the information requested.
SEND TO:
Crescent Lake Regional Sno-Riders
  1. O. Box 992
Claremont, NH 03743

Include $30.00 check payable to CLRSR
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