Type of membership – Please check applicable boxes

q SINGLE MEMBERSHIP - 16 Years or older…………………$30.00

q FAMILY MEMBERSHIP – Includes children under 16……….$35.00

q “Early Bird” discount ………………………………(subtract) -$5.00

(If we receive your application before 12/1/ 2009)

WOW! What a great value! The total is only…………………..…$ _______

$10 of your membership dues entitles you to membership in NHSA and a one-year subscription to Sno-Traveler magazine.

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We must have a mailing address for the primary member– Please print legibly.

NAME_______________________________________________________

Mailing Address________________________________________________

City____________________________________State______Zip__________

q YES. Send me the club’s awesome newsletter!

Please supply your Email address if you’d like it delivered electronically. Help save postage costs!

E-mail_________________________________________________

q No Thanks. I’ll get it from the website. (www.hennikertrailtravelers.com)

Please give us your comments or suggestions:

PLEASE MAIL ONE CHECK WITH THIS FORM TO:

HENNIKER TRAIL TRAVELERS