DUES
STATEMENT
Membership Year
July 1 to June 30
Oregon State Snowmobile Association Dues--$25.00
North Santiam Snowmobile Club--$10.00
Total Enclosed $________
Please make checks payable to:
North Santiam Snowmobile Club
P.O.Box 492 Detroit Or 97342
Name__________________________
Address_________________________
City______________State____Zip_______Phone#____________
# Snowmobiles_________# People Representing________
Email Address_____________________________
Would you like to be contacted for all club functions?_______
Meetings Only?______________
Work Parties?____,Mechanical____, Fire Wood_____, Grooming____Trail Clean Up______, General______.
Check #_________Date Paid___________
If dues have already been paid to OSSA, Please list the the club dues were paid through____________________
