The Ludlow Side Hill Cronchers
 
TMA Membership Application
*** Includes VAST TMA, plus Club and County dues ***
 
SIDE HILL CRONCHERS - SNOWMOBILE CLUB
P.O. Box 222, Ludlow, Vermont 05149
 
TMA Membership Application 2007-2008
(Regular & Associate)
 
Snowmobile Information – (required except for Associate Membership)
Year: _________________________ Manufacturer: _________________________
Model: _________________________ Serial Number: _________________________
Registration #: _________________________ State: _________________________
 
Registered Owner / Associate Member Information:
First Name: _________________________ MI: _________________________ Last Name: _________________________
PO Box or House # _________________________ Street: _________________________
City/Town: _________________________ State: _________________________
Telephone: _________________________ Email Address: _________________________
Zip Code: _________________________ To receive monthly Club information please provide your E-Mail Address:
Member's Name: (if different from registered owner) _________________________
 
Membership Fees (includes VAST TMA, plus Club and County dues)
Type of TMA/Membership: (circle one - use separate application for each machine)
 
  Prior to Dec. 15th After Dec. 15th
Regular TMA: Resident - $85.00 Resident - $110.00
  Non-Resident - $115.00 Non-Resident - $150.00
Classic TMA: Resident - $55.00 Resident - $70.00
  Non-Resident - $70.00 Non-Resident - $90.00
Family TMA's:(1st two) Resident - $85.00 each Resident - $110.00 each
(additional) Resident - $52.50 Resident - $65.00
(1st two) Non-Resident - $115.00 each Non-Resident - $150.00 each
(additional) Non-Resident - $67.50 Non-Resident - $85.00
 
Enclosed for TMA/Associate Membership $______________________________
Grooming Donation for Club $______________________________
Croncher Club Decals $1.00 each $______________________________
 
Total Enclosed $______________________________
 
Make checks payable to: Side Hill Cronchers and mail to P.O. Box 222, Ludlow, VT 05149
(Maps, County & State, are available at one of our TMA outlets: Ludlow NAPA, Ludlow Insurance, Ludlow Country Store, and Finn & Stone Insurance.)
 
Associate Membership – Any person that is not a snowmobiler may join our club as an Associate Member. This class of membership provides for all membership privileges except for voting. Just fill out the member and e-mail information and forward with the annual dues payment of $10.00.
 
Limited Liability Statement
(Must be signed)
 
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 of 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 owner of the trail do not assume any responsibility for the damages they undergo while using the trail.
 
As of September 1, 2003, every individual operating a snowmobile in Vermont is required to have personal liability insurance. The minimum required coverage is $25,000 for one injury or $50,000 for two or more injuries or deaths with a minimum of $10,000 property damage. The fine for operating without the insurance is $110.00 plus court costs.
 
________________________________________________   _________________________
Signature   Date