Glover Trailwinders Snowmobile Club: VAST TMA and Club Membership Application

VAST TMA and Club Membership Application
			Glover Trailwinders Snowmobile Club P.O. Box 16 West Glover, VT 05875 www.glovertrailwinders.com
PLEASE READ CAREFULLY Please follow all instructions carefully, especially the information pertaining to the snowmobile. This information is required and if missing or incomplete the application will be returned. Individuals are reminded that they must have a TMA and Club card on their person to legally operate the snowmobile. Required photocopy's must be included. Make extra copies of this form for additional snowmobiles. You can print this application and fill out manually or fill it out online and then print.
RESIDENT TMA * A Vermont resident whose snowmobile is registered in Vermont. Attach a photocopy of your registration. * A non-resident who owns property in Vermont and whose snowmobile is also registered in Vermont. Attach a photocopy of your Vermont registration and your PAID Vermont town tax bill.
NON-RESIDENT TMA * All non-residents that do not own property in Vermont. * Vermont residents whose snowmobiles are not registered in Vermont. * Non-resident Vermont property owner whose snowmobile is not registered in Vermont.
NOTE: A copy of your current snowmobile registration must accompany all applications
Please make checks payable to: Glover Trailwinders Snowmobile Club Nancy Rodgers 582 Rodgers Rd West Glover, VT 05875
TMA Prices
	Description	Before 12/15/09	After 12/15/09	Total
	Club Membership	$10.00	$10.00
	Resident TMA (includes Non-Resident Land Owner)	$65.00	$90.00
	Non-Resident TMA	$95.00	$130.00
	Resident Family TMA First Two Snowmobiles (Price for Each)	$65.00	$90.00
	Each Additional Snowmobile	$33.00	$45.00
	Non-Resident Family TMA First Two Snowmobiles (Price for Each)	$95.00	$130.00
	Each Additional Snowmobile	$48.00	$65.00
	Orleans County Dues (applies to all TMAs)	$1.00	$1.00
			TOTAL $:

SNOWMOBILE TMA INFORMATION: (Fields in BOLD are required)
Year	Manufacturer	Model
Serial #	Registration #	State/Province
REGISTERED OWNER
MAILING ADDRESS:

CLUB MEMBERSHIP INFORMATION:
NAME (if different than owner)		AGE:
MAILING ADDRESS:

E-MAIL
TELEPHONE
Please read the Code of Ethics and the Limited Liability Statement The following Liability Statement must be signed, dated and returned with your application to obtain a Vermont TMA LIMITED LIABILITY STATEMENT 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 a trail. Applications must be received by 12/15/09 in order to qualify for the 12/15/09 pricing. Family discount is only available if ALL snowmachines are registered to the same person. One check may be written for all fees, made payable to Glover Trailwinders Snowmobile Club. I have read and understand the Code of Ethics and the Limited Liability Statement.
Signature:		Date:

VAST TMA and Club Membership Application

TMA Prices