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____ YES!
I am interested in joining the Sno-Devils Snowmobile Club. My check for
$20.00 membership fee is included. I will receive the following
benefits:
- Membership in the Sno-Devils Snowmobile club
- Membership in the Maine Snowmobile Association (MSA)
- $2,000 Accidental Death or Dismemberment Insurance for applicant (additional dependents $2.00 each)
- One year subscription to the Maine Snowmobile Publication
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Name ___________________________ Date of Birth ______________________________
Address ________________________________ Town _____________________________
State __________________________________ Zip Code __________________________
Beneficiary ____________________________________ Email _______________________
Telephone Number ___________________________ Number of Family Members ________
List each dependent
(spouse and/or children under 19) name and birthdate for additional MSA
Dependent Insurance (add additional $2.00 each):
Please mail with your check for the correct amount to:
Sno-Devils Snowmobile Club
PO Box 141
St. Albans ME 04971
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