PISC
Presque Isle Snowmobile Club

10538
Rt.19N/Peach Waterford, PA
814-796-6857

 

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TRAIL BOSS:

Paul Vallimont (814) 572-0063

Lane Rd to ½ between 19/97:
Sid Schaefer (814) 882-5607

½ Between 19/97 to Mound Grove: Jim Dauer (814) 881-5608

Mound Grove to Lake Pleasant Rd: Dick East (814) 882-7473

 

 

 

 

 

Presque Isle Snowmobile Club - Application for Membership      Click here for PDF Version

Check one:  (print out, fill out, and mail)       Check one: 

      Full Membership - $35.00                       New   

      Associate Membership - $15.00                  Renewal

Name  __________________________________________  Spouse____________________

 

Address  ____________________________________________________________________

 

Phone (      ) _____________________________  Alt # (      )  ________________________

 

Email  _______________________________________             I would like my newsletter emailed to me
                                            

 

Please check the boxes in areas that you could help:

Clubhouse Maintenance                      Excavating                        Selling Raffle Tickets

Repairing or Making New Signs             Equipment Maintenance       Welding  

Clearing Trails & Trail Maintenance        Computer Work                 Other _______________________

 

Please list the names of your children and their birthdays:

______________________    ______      ____________________   ______

 

______________________    ______      ____________________   ______

 

Your Birthday ____________________     Spouse Birthday ____________________  

Wedding Aniv. ______________________


Occasionally we are in need of professional services
(i.e. plumbers, contractors, HVAC, etc.)  
Could we call on you if needed? if so, please list your occupation below.

 

Your occupation _________________________________________________________

 

Spouse ________________________________________________________________

 

***NEW this year*** Please forward membership in my/our name to the Pennsylvania State Snowmobile Association.  I have enclosed and additional $20.00 for  the annual membership, which includes a subscription to the Keystone Snowmobiler and my voice in  State snowmobile related issues.

 

*** All applicants are subject to abide by the PISC by-laws***

 

Signature ______________________________________     Date __________________

 

Applications are subject to the approval of the board. 

Please print out form and...make check payable to Presque Isle Snowmobile Club
and mail to… Karen East - 825 Lee Road - Waterford, PA 16441