Copy and paste in a word doc or e-mail and fill out and send or e-mail to:


Indiana Vintage Snowmobile Association, Inc.
6821 E. May Ln.
Leesburg, IN 46538


Membership Form

Annual Dues:         $30 for individual/family membership
                            $50 for commercial membership

Membership year runs from May 1st to April 30th - New Members joining after November 1st, will have membership extended for 12 months following April 30th of the next calendar year - up to 18 months total.


First Name:_________________________________________________________________


Last Name:_________________________________________________________________


Street Address:_____________________________________________________________


City:_______________________________________________________________________


State______________________________________________________________________:


ZIP Code__________________________________________________________________:


Phone_____________________________________________________________________:


Cell Phone:_________________________________________________________________


Email Address:_____________________________________________________________


Comment:___________________________________________________________________


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