LUDLOW SIDE HILL CRONCHERS SNOWMOBILE
CLUB
P.O. Box 222, Ludlow, Vermont 05149
Membership Application 2014-2015
(Regular & Associate)
Snowmobile
Information – (Required, except for Associate Membership; we do
not keep information from previous years, please provide ALL
information on this form. Failure to do so will result in
application being returned.)
Year:
______________ Manufacturer: _____________________________________
Model:
_________________________Serial / VIN #: _________________________
Registration #:
____________________ State where Registered: ________________
Registered
Owner (use address shown on Registration)/Associate Member
Info:
First
Name:_____________________ MI:___ Last Name:______________________
P.O. Box or
House # _________Street: _____________________________________
City/Town:
___________________________ State: ____________Zip:___________
Telephone:
_____________________ E-Mail: _______________________________
To receive monthly Club information
please provide your E-Mail Address:
Member’s Name: (if different from
registered owner) __________________________
Membership Fees (includes VAST TMA,
Club and County dues)
Type of
TMA/Membership: (circle
one-use separate application for each machine; to qualify for any
Resident TMA, the snowmobile must be registered in Vermont)
| All Prices per TMA |
Prior to December 16th |
After December 15th |
|
NOTE: To qualify for Resident/Landowner rate, the
snowmobile must be registered in Vermont and a paid Vermont
property tax bill presented. |
Regular TMA |
| Resident/Landowner |
$125.00 |
$150.00 |
| Non-Resident |
$155.00 |
$190.00 |
| |
Classic TMA (No longer
available-discontinued) |
| Resident/Landowner |
Not Available |
Not Available |
| Non-Resident |
Not Available |
Not Available |
|
Note:
To qualify for
the Family TMA discount all snowmobiles must be
registered in the same name at the same address.
|
Family TMA (Only available
during Early Bird Period) |
| Resident/Landowner (1st two @ $125 each) |
$125.00 |
Not Available |
| Resident/Landowner (each additional) |
$109.00 |
Not Available |
| Non-Resident (1st two @ $155 each) |
$155.00 |
Not Available |
| Non-Resident (each additional) |
$132.00 |
Not Available |
| |
|
| Total enclosed for TMA's |
|
| Associates Membership Dues @ $15 each |
|
| Grooming Donation for Club |
|
| Club decals @ $1.00 each |
|
| Total Enclosed |
|
Make checks payable to: Side
Hill Cronchers and mail to P.O. Box 222, Ludlow, VT 05149
(Maps, County & State, are available
at one of our TMA outlets: Benson’s Chevrolet, Ludlow NAPA, Ludlow
Insurance, Finn & Stone Insurance, Cool Moose Café, Ludlow
Country Store and Dan Turco & Sons in Shrewsbury)
Associate Membership – Any person
that is not a snowmobiler may join our club as an Associate Member.
This class of membership provides for all membership privileges
except for voting. Just fill out the member and e-mail information
and forward with the annual dues payment of $15.00.
Limited Liability Statement
(Must be signed)
As a member of a snowmobile club I, the
undersigned, owner of the snowmobile described above, declare that I
am liable for the use of a trail in conformance with the snowmobile
laws and rules of the State of Vermont. Without limiting the
generality of the foregoing, I declare that I am well aware of the
risks related to the presence of tree branches, stones and soil on
the trail as well as the risks related to the maintenance and
signing of a trail. I consequently declare that I deny my own
recourse to any damage, be it of any kind that could happen to me in
the use of a trail. I also pledge that I will inform any person to
whom I would lend or rent the snowmobile that I own, of the risks
above mentioned and will advise them that the association, the club
or the owner of the trail do not assume any responsibility for the
damages they could undergo while using the trail.
As of September 1, 2003, every individual
operating a snowmobile in Vermont is required to have personal
liability insurance. The minimum required coverage is $25,000 for
one injury or $50,000 for two or more injuries or deaths with a
minimum of $10,000 property damage. The fine for operating without
the insurance is $601.00 plus court costs.
________________________________________
_______________
Signature
Date
Note: Any person born after July 1st,
1983 must pass a VAST certified Snowmobile Safety Course and carry a
certificate of completion with them at all times when snowmobiling
on VAST trails.
Note: To qualify for the Family
TMA discount all snowmobiles must be registered in the same
name at the same address. |