2014 - 2015 APPLICATION FOR NORTH COUNTRY MOUNTAINEERS MEMBERSHIP AND VAST TMA FEES: All fees reflect the combined VAST TMA fee, North Country Mountaineers club dues of $20 & the Orleans County dues of $1. Green & Silver Early Bird TMA Through Monday, December 15, 2014 TMA’s (Trail Maintenance Assessment pass) Silver & Green Regular Season TMA Beginning Tuesday, December 16, 2014 Resident Regular TMA Proof of residency & copy of current VT Snowmobile Registration must be included w/ application. $ 121 $ 146 $ 151 $ 186 Non-Resident Landowner TMA Copy of current paid VT Tax Bill & copy of current VT Snowmobile Registration must be included w/ application. Non-Resident TMA Copy of current VT Snowmobile Registration must be included with application. Resident Family TMA $ Proof of residency & copy of current VT Snowmobile Registration must be included w/ application. 121 $ 105 Non-Resident Family TMA $ Requires the purchase of two Regular TMA’s, and must all be registered to the same owner. Requires the purchase of two Regular TMA’s, and must all be registered to the same owner. Copy of current VT Snowmobile Registration must be included with application. 3-Day Pass Resident/Non-Resident Does not include liability insurance 151 $ 128 First two Regular TMA’s Not Available Any additional TMA’s First two Regular TMA’s Not Available Any additional TMA’s Not Available $ 91 Every individual operating a snowmobile in Vermont is required to have personal liability insurance. Proof of insurance is NOT required to buy your TMA. Please fill out ALL information on the form. Incomplete applications will be mailed back. Make check or money order out to North Country Mountaineers and mail to: North Country Mountaineers, c/o Kathy Bowman, 103 Webster Road, Orleans, VT 05860 SNOWMOBILE MANUFACTURER _______________________ YEAR ______ SNOWMOBILE SERIAL NUMBER _________________________________ STATE OR PROVINCE _______ COUNTRY ______ STATE REGISTRATION NUMBER _____________________ REGISTERED OWNER ______________________________________________ WRITE IN TMA PURCHASING FROM LIST ABOVE _________________________ FIRST MI LAST IF NON-RESIDENT LANDOWNER, INCLUDE DESIGNATED TOWN : __________________ AND PARCEL NUMBER: _______________ ADDRESS __________________________________________________________________________________________________________________________ P.O. BOX OR HOUSE NUMBER AND FULL STREET ADDRESS CITY/TOWN________________________________ STATE____________ CELL PHONE # ______________________ ZIP CODE___________ - _____ TELEPHONE # ______________________ DATE OF BIRTH _____/_____/_____ E-MAIL __________________________________________________ DATE __________________ SIGNATURE _____________________________________________ Please SEND a copy of your CURRENT year VT Snowmobile Registration & check or money order with completed application. Please SEND a copy of your CURRENT year Paid Tax Bill for NON-RESIDENT LANDOWNER Questions? Feel free to call Kathy Bowman at 802-274-3609.
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