Membership Application

Harvard Snow Gophers
2009 - 2010 Season
Membership Application

Required *

Choose One: * New Membership - $30.00 Renewal Membership - $30.00

Field not valid (required or bad value)

Thanks for your interest in the Harvard Snow Gophers snowmobile club, our membership is $30.00 per family per year Note: $7.50 of your club dues pays for your IASC membership and your subscription to Illinois Snowmobiler Magazine. A service charge of $1.00 will be added if you pay with PAYPAL. If you prefer to pay by check, Checks should be made out to: "Harvard Snow Gophers" and mailed to: Harvard Snow Gophers Snowmobile Club, 21517 Dunham Rd. Harvard IL 60033

Name: *

Field not valid (required or bad value)

Spouse Name:

Field not valid (required or bad value)

Address: *

Field not valid (required or bad value)

State: *

Field not valid (required or bad value)

City: *

Field not valid (required or bad value)

Zip: *

Field not valid (required or bad value)

Phone: *

Field not valid (required or bad value)

E-Mail:

Field not valid (required or bad value)

The Harvard Snow Gophers

Membership Application