To join the TRUXTON SNOWMOBILE CLUB, INC.
Please key in the information boxes below and then print this form. 

Or instant NYSSA Membership and color printable voucher

Include it with your check or money order and send it to : TRUXTON SNOWMOBILE CLUB, Inc.

c/o Tom Biruk, Membership

4072 West Cheningo Road

Truxton, NY 13158

$5.00 of your club dues is sent to NYSSA.

Address must match address on snowmobile registration.

Is this a New or Renewal Membership?

Your Name:

Street Address:

City:

State:

Zip Code:

County:

Home Phone:

Current Email: (very important)

# of Registered Snowmobiles:

Spouse Name: (family membership info)

# of Children:

Children under 18 registering sleds:

 What type of membership would you like ? 
 What services can you provide as a member ?

Best time to contact you:

I certify the information provided is accurate:___________________________________________

Created by TSCINC     Copyright © 2015 [TSCINC].      All rights reserved. (signature)