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Rangeley Lakes Snowmobile Club
2007-2008 Membership Form

Mail to:  

Rangeley Lakes Snowmobile Club
P.O. Box 950
Rangeley, ME  04970-0950

Please read the MSA membership and insurance information carefully! Family memberships are different than individual memberships:


Note:  All membership plans will receive our monthly newsletter, the MSA newspaper, and club decal.  If you wish to receive RLSC newsletter by
e-mail, please indicate e-mail address below.

 

Platinum Club Membership - $102

Our Platinum Club membership entitles you to an individual membership in the Rangeley Lakes Snowmobile Club and the Maine Snowmobile Association (MSA) until September 30, 2008. You will receive our Platinum Club pin & baseball-type hat and MSA insurance.

Gold Club Membership - $62

Our Gold Club membership entitles you to an individual membership in the Rangeley Lakes Snowmobile Club and the Maine Snowmobile Association (MSA) until September 30, 2008. You will receive our Gold Club Pin and MSA insurance.

Regular Membership - $27

Our Regular Club membership entitles you to an individual membership in the Rangeley Lakes Snowmobile Club and the Maine Snowmobile Association (MSA) until September 30, 2008 and MSA insurance.

family Membership - $42

Our Family membership entitles you to membership for two parents and all children under the age of 19 living in your home in the Rangeley Lakes Snowmobile Club.  You will receive 2 club decals and one Msa membership with insurance coverage. Your MSA membership will expire on September 30, 2008.

!!REMEMBER!!

Family membership includes One (1) MSA membership with insurance coverage. ALSO - Any MSA member may sign their dependents up under MSA for Dependent Insurance. List their full name and birth date and add $2.00 per dependent.

 


  

 

NAME ______________________________________                       

ADDRESS _______________________________________                

CITY ____________________________  STATE ______                    

ZIP ____________           

EMAIL ADDRESS ________________________________

BIRTH DATE ______________        

BENEFICIARY ______________________________________

DEPENDENT'S NAMES (Add $2.00 each):

  __________________________________________________

REFERRED BY (optional) ___________________________________

Platinum Club - $102

Gold Club - $62

Regular - $27 

  Family - $42

 

Please send my RLSC Newsletter via email instead of postal mail (be sure to include your email address).

Thank You!

 

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