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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 |