North Country ATV Association
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NYTRO of Eastern NY
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Application
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Name:_____________________________
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Address:___________________________
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City:___________________ State:__________
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Zip:______________ _Phone:_____________
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County:_____________ Date:_____________
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E-mail:________________________________
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Machine information
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Year:____________ Make:_______________
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Model:_____________ _CC:______________
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Year:___________ _Make:________________
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Model:____________ CC:_________________
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Membership
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Individual membership is $70.00 per yearI Due September 1st of ever year
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Family membership is $80.00 per year Due September 1st of ever year
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(When you first join the fees are done on a pro-rate
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Membership pro rate
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September to January Individual $ 70.00 Family $80.00
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February to June Individual $60.00 Family $70.00
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July to August Individual $50.00 Family $60.00
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You must be licensed and insured to become a member
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Family Membership
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Spouse’s name: __________________________
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Children under 18 years of age
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1st ________________ 2nd ___________________
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Please include a copy of your registration and insurance card with your check.
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Check payable to NCATVA
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And Mail to
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North Country ATV Association NYTRO of Eastern NY
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Po Box 136
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Greenfield Center NY 12833
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