Indian Lake Snowarriors Assoc.
Individual or Family Membership Application

Membership includes $5.00 NYSSA membership
(membership card, decal and magazine)

Membership type: (select one) individual $25.00  OR family $30.00

First Name:  Last Name:

Street or PO Box:

City or Town:  State:   Zip:

Home Phone:

Email:

Spouse &/or Family Names:

Signature: ________________________

Club President: _____________________      Date ___________

This certifies that _____________________________________
Is a member in good standing of “INDIAN LAKE SNOWARRIORS”

Print and sign completed form then submit
this application during one of our meetings
or mail with check to:

Indian Lake Snowarriors Assoc.
231 Cedar River Road
Indian Lake, N.Y. 12842