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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.