COON RAPIDS SNO CRUISERS
Application for Membership


Name     ________________________________   Birthdate  ______________________

Name     ________________________________   Birthdate ______________________

Address  ________________________________________________________________

City        _____________________________  State _______________  Zip __________

Home Phone (    )  _____________________  Work Phone (    )  ___________________

Email Address  ______________________________________________

Children living at home:

        Name   ____________________   Birthdate   _________________________
        Name   ____________________   Birthdate   _________________________
        Name   ____________________   Birthdate   _________________________
        Name   ____________________   Birthdate   _________________________

How did you learn of the Sno Cruisers ?   ______________________________________
________________________________________________________________________
________________________________________________________________________

What do you expect from the Club?   _________________________________________

_____________________________________________________________
_____________________________________________________________

Check which of the following activities you would enjoy working on:
 
        Fund Raising  ______                Safety Training     _______        Newsletter _______
        Officer            ______                Charities               _______

Are you a current MnUSA Member?                Yes  _______   Membership number ______

How many sleds are in your household?   _______

Dues:                Coon Rapids Sno Cruisers        $25.00 per year
                MnUSA Membership                  Free
                                Total per family               $25.00     Due October 1

Make Checks Payable to Coon Rapids Sno Cruisers
Mail Checks to:            
                             
             
                           
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