American Snowmobilers Association

Membership Application

New:  ____                               Renewal: Member number:  _____

Name:

Address:

City:

State:

Country if other than USA:

Email:

Telephone:

Type of membership:

   ___   Individual  @ $25

   ___   3 years for $60

   ___   Senior (60+) @ $20

   ___   Mobility Restricted or Disabled: @ $15

   ___   Life Member: $300

* life membership is awarded at 15 years of continuous membership.

Mail Check to: ASA

                        118 Searles Road

                        Nashua, NH 03062

Your members kit will be mail to the above address unless instructed otherwise.

Notice of privacy: No information provided as any part of a membership application will ever be used, shared or sold outside of the ASA.  All reference to members is only in a cumulative nature indicating the number of members that the Association is representing.