PISC - Presque Isle Snowmobile Club
     Waterford, PA (814) 796-6857  

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Presque Isle Snowmobile Club - Application for Membership
- click here for word document

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