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

Price now Includes NHSA membership!

q “Early Bird” discount (If we receive your application Before 1/1/ 2008) -$5.00

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

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

NAME_______________________________________________________

Mailing Address________________________________________________

City____________________________________State______Zip__________

Phone________________________________________________

E-mail_________________________________________________

Help us cut down mailing costs!

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

q Don’t waste the paper. I just want the sled registration.

Comments or constructive suggestions:

PLEASE MAIL ONE CHECK WITH THIS FORM TO:

HENNIKER TRAIL TRAVELERS