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Membership Application

Please print this form, fill it out, and mail it along with payment to the address below.

Thank You.

Name_________________________________________________________________

Address_______________________________________________________________

City__________________________________________________________________

State_____________________________Zip__________________________________

Phone____________________________E-Mail_______________________________

Membership: Single:__________________

Family:____________________(names:_________,___________.______________)

NETRA # __________   AMA # _______

If you compete in NETRA events, please provide us with your membership number so you will get your year end points awards under the club rule!!!!!

 

Single membership is $20.00 per year. Family membership is $25.00 per year.

Mail Application To:

SeaCoast Trail Riders, Inc.

PO Box 1844

Dover, NH.

03821-1844