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OSSA Membership Application
Print out and send in with payment. |
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OSSA Year: July 1st to June 30th |
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Annual Membership Dues |
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(_) New $25 ------- (_) Renew $25 ------- (_) Business $25 |
Last Name:______________________________________________ |
| First Name:______________________________________________ |
| Spouse:_________________________________________________ |
| Address:________________________________________________ |
| City:____________________________________________________ |
| State/Zip:________________________________________________ |
| Home Phone:__________________Work Phone:_________________ |
| Club Name:______________________________________________ |
| No. of Family Members___________No. of Machines_____________ |
State Association Dues .........................................$________ |
| Club Dues ............................................................$________ |
| Total Enclosed for OSSA .....................................$________ |
| Donation to Legal Action Fund .............................$________ |
Local Club Name:__________________________________________ |
| Contact:______________________________Phone:______________ |
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Mail to: Oregon State Snowmobile Association
P.O. Box 435, LaPine, OR 97739
1-888-567-SNOW (7669) |